TYSHIA ANJENETTA MOORE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049217474

License Status

NOT RENEWED

Business

First Name

TYSHIA

Middle

ANJENETTA

Last Name

MOORE

Business Name

TYSHIA ANJENETTA MOORE

Original Issue Date

04/18/2013

Effective Date

03/19/2014

Expiration Date

03/31/2015

City

PEORIA

State

Zip

61605

County

PEORIA

Ever Disciplined

LastModifiedDate

05/11/2015