MIATA R MOORE - Pharmacist License in Illinois | # 049213788

MIATA R MOORE

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049213788

License Status

NOT RENEWED

Business

N

First Name

MIATA

Middle

R

Last Name

MOORE

Prefix

MR

Business Name

MIATA R MOORE

Original Issue Date

09/28/2012

Effective Date

03/03/2014

Expiration Date

03/31/2015

State

IL

Ever Disciplined

N

LastModifiedDate

05/11/2015