ALYSSA J MOORE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049210029

License Status

NOT RENEWED

Business

First Name

ALYSSA

Middle

Last Name

MOORE

Prefix

Business Name

ALYSSA J MOORE

Original Issue Date

03/30/2012

Effective Date

02/05/2014

Expiration Date

03/31/2015

City

RANTOUL

State

Zip

61866

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

05/11/2015