SHACOYA D MOORE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049223112

License Status

NOT RENEWED

Business

First Name

SHACOYA

Middle

Last Name

MOORE

Business Name

SHACOYA D MOORE

Original Issue Date

01/25/2014

Effective Date

01/25/2014

Expiration Date

03/31/2015

City

DANVILLE

State

Zip

61832

County

VERMILION

Ever Disciplined

LastModifiedDate

05/11/2015