LATAVIA MOORE - Pharmacist License in Illinois | # 049261143

LATAVIA MOORE

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049261143

License Status

NOT RENEWED

Business

N

First Name

LATAVIA

Last Name

MOORE

Business Name

LATAVIA MOORE

Original Issue Date

10/26/2018

Effective Date

03/07/2019

Expiration Date

09/30/2020

State

IL

Ever Disciplined

N

LastModifiedDate

01/08/2021