JACOB ANTHONY MOORE - Pharmacist License in Illinois | # 049211161

JACOB ANTHONY MOORE

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049211161

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

05/06/2014