ALICIA L MOSHTAGH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049238172

License Status

NOT RENEWED

Business

First Name

ALICIA

Middle

Last Name

MOSHTAGH

Prefix

Business Name

ALICIA L MOSHTAGH

Original Issue Date

12/03/2015

Effective Date

04/04/2019

Expiration Date

09/30/2020

City

SPRINGFIELD

State

Zip

62712

County

SANGAMON

Ever Disciplined

LastModifiedDate

01/08/2021