MYCAH CHANEL MOORE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049261071

License Status

NOT RENEWED

Business

First Name

MYCAH

Middle

CHANEL

Last Name

MOORE

Business Name

MYCAH CHANEL MOORE

Original Issue Date

10/25/2018

Effective Date

10/25/2018

Expiration Date

03/31/2019

City

DANVILLE

State

Zip

61832

County

VERMILION

Ever Disciplined

LastModifiedDate

07/15/2019