FASEAN P MOFFETT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049274956

License Status

NOT RENEWED

Business

First Name

FASEAN

Middle

Last Name

MOFFETT

Business Name

FASEAN P MOFFETT

BusinessDBA

FASEAN PEARLEY MOFFE

Original Issue Date

08/11/2020

Effective Date

08/11/2020

Expiration Date

03/31/2021

City

JOLIET

State

Zip

60435

County

WILL

Ever Disciplined

LastModifiedDate

07/20/2021