TAKESHA M MOOTY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049263703

License Status

NOT RENEWED

Business

First Name

TAKESHA

Middle

Last Name

MOOTY

Business Name

TAKESHA M MOOTY

Original Issue Date

03/13/2019

Effective Date

03/13/2019

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60621

County

COOK

Ever Disciplined

LastModifiedDate

01/08/2021