DIANA A MOODY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049235741

License Status

NOT RENEWED

Business

First Name

DIANA

Middle

Last Name

MOODY

Prefix

Business Name

DIANA A MOODY

Original Issue Date

08/24/2015

Effective Date

03/31/2017

Expiration Date

03/31/2018

City

MANTENO

State

Zip

60950

County

KANKAKEE

Ever Disciplined

LastModifiedDate

06/19/2018