ALICE LYNN MOSS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049252046

License Status

NOT RENEWED

Business

First Name

ALICE

Middle

LYNN

Last Name

MOSS

Business Name

ALICE LYNN MOSS

Original Issue Date

07/28/2017

Effective Date

03/08/2018

Expiration Date

03/31/2019

City

MACOMB

State

Zip

61455

County

MCDONOUGH

Ever Disciplined

LastModifiedDate

07/15/2019