MIATA R MOORE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049213788

License Status

NOT RENEWED

Business

First Name

MIATA

Middle

Last Name

MOORE

Prefix

Business Name

MIATA R MOORE

Original Issue Date

09/28/2012

Effective Date

03/03/2014

Expiration Date

03/31/2015

City

CALUMET CITY

State

Zip

60409

County

COOK

Ever Disciplined

LastModifiedDate

05/11/2015