LYDIA P MOULTON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049212650

License Status

NOT RENEWED

Business

First Name

LYDIA

Middle

Last Name

MOULTON

Prefix

Business Name

LYDIA P MOULTON

Original Issue Date

08/03/2012

Effective Date

02/19/2013

Expiration Date

03/31/2014

City

MARION

State

Zip

62959

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

05/06/2014