JOHNATHAN S MOORE JR Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049235920

License Status

NOT RENEWED

Business

First Name

JOHNATHAN

Middle

Last Name

MOORE JR

Business Name

JOHNATHAN S MOORE JR

Original Issue Date

08/29/2015

Effective Date

02/09/2016

Expiration Date

03/31/2017

City

ROCKFORD

State

Zip

61109

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/10/2017