KARISSA ROCHELLE MOSS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049208365

License Status

NOT RENEWED

Business

First Name

KARISSA

Middle

ROCHELLE

Last Name

MOSS

Business Name

KARISSA ROCHELLE MOSS

Original Issue Date

12/21/2011

Effective Date

03/21/2012

Expiration Date

03/31/2013

City

CENTRALIA

State

Zip

62801

County

MARION

Ever Disciplined

LastModifiedDate

05/06/2013