STEPHANIE A MOORE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049277302

License Status

NOT RENEWED

Business

First Name

STEPHANIE

Middle

Last Name

MOORE

Business Name

STEPHANIE A MOORE

Original Issue Date

11/12/2020

Effective Date

01/10/2021

Expiration Date

05/31/2022

City

DIXON

State

Zip

61021

County

LEE

Ever Disciplined

LastModifiedDate

07/27/2022