ELENA CAROLE MOOTH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049263794

License Status

NOT RENEWED

Business

First Name

ELENA

Middle

CAROLE

Last Name

MOOTH

Business Name

ELENA CAROLE MOOTH

Original Issue Date

03/19/2019

Effective Date

01/04/2020

Expiration Date

03/31/2021

City

MACKINAW

State

Zip

61755

County

WILL

Ever Disciplined

LastModifiedDate

07/20/2021