DEIDRA L MOODY GODFREY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049230012

License Status

NOT RENEWED

Business

First Name

DEIDRA

Middle

Last Name

MOODY GODFREY

Prefix

Business Name

DEIDRA L MOODY GODFREY

Original Issue Date

12/19/2014

Effective Date

03/30/2015

Expiration Date

03/31/2016

City

COUNTRY CLUB HILLS

State

Zip

60478

County

COOK

Ever Disciplined

LastModifiedDate

05/20/2016