ELENA CAROLE MOOTH - Pharmacist License in Illinois | # 049263794

ELENA CAROLE MOOTH

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049263794

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

07/20/2021