TRENTON M MOORE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049214230

License Status

NOT RENEWED

Business

First Name

TRENTON

Middle

Last Name

MOORE

Business Name

TRENTON M MOORE

Original Issue Date

10/24/2012

Effective Date

01/23/2014

Expiration Date

03/31/2015

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/11/2015