NICHOLAS CHARLES MOFFETT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049251925

License Status

NOT RENEWED

Business

First Name

NICHOLAS

Middle

CHARLES

Last Name

MOFFETT

Business Name

NICHOLAS CHARLES MOFFETT

Original Issue Date

07/18/2017

Effective Date

04/05/2021

Expiration Date

05/31/2022

City

ROCKFORD

State

Zip

61107

County

BOONE

Ever Disciplined

LastModifiedDate

07/27/2022