CHANTIRA MARIA MOORE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049256765

License Status

NOT RENEWED

Business

First Name

CHANTIRA

Middle

MARIA

Last Name

MOORE

Business Name

CHANTIRA MARIA MOORE

Original Issue Date

03/15/2018

Effective Date

03/15/2018

Expiration Date

03/31/2019

City

ROCKFORD

State

Zip

61107

Ever Disciplined

LastModifiedDate

07/15/2019