MADILYN RENEE MOSS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049248893

License Status

NOT RENEWED

Business

First Name

MADILYN

Middle

RENEE

Last Name

MOSS

Business Name

MADILYN RENEE MOSS

Original Issue Date

03/06/2017

Effective Date

03/28/2018

Expiration Date

03/31/2019

City

CREAL SPRINGS

State

Zip

62922

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

07/15/2019