JACOB ANTHONY MOORE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049211161

License Status

NOT RENEWED

Business

First Name

JACOB

Middle

ANTHONY

Last Name

MOORE

Business Name

JACOB ANTHONY MOORE

Original Issue Date

05/18/2012

Effective Date

01/23/2013

Expiration Date

03/31/2014

City

MACOMB

State

Zip

61455

County

MCDONOUGH

Ever Disciplined

LastModifiedDate

05/06/2014