GLENNDA L MOULTRIE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049228744

License Status

NOT RENEWED

Business

First Name

GLENNDA

Middle

Last Name

MOULTRIE

Business Name

GLENNDA L MOULTRIE

Original Issue Date

10/22/2014

Effective Date

10/22/2014

Expiration Date

03/31/2015

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/11/2015