LATAVIA MOORE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049261143

License Status

NOT RENEWED

Business

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

City

KANKAKEE

State

Zip

60901

County

KANKAKEE

Ever Disciplined

LastModifiedDate

01/08/2021