DIAMOND NICHOLE MOODY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049269134

License Status

NOT RENEWED

Business

First Name

DIAMOND

Middle

NICHOLE

Last Name

MOODY

Business Name

DIAMOND NICHOLE MOODY

Original Issue Date

11/07/2019

Effective Date

02/25/2020

Expiration Date

03/31/2021

City

PARK FOREST

State

Zip

60466

County

COOK

Ever Disciplined

LastModifiedDate

07/20/2021