DERIKA ANGELIQUE MOORE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049263180

License Status

NOT RENEWED

Business

First Name

DERIKA

Middle

ANGELIQUE

Last Name

MOORE

Business Name

DERIKA ANGELIQUE MOORE

Original Issue Date

02/08/2019

Effective Date

01/04/2020

Expiration Date

03/31/2021

City

FAIRVIEW HEIGHTS

State

Zip

62208

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

07/20/2021