MELLOW XAVIER MOON Pharmacist License verification

Business Entity

ACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049291676

License Status

ACTIVE

Business

First Name

MELLOW

Middle

XAVIER

Last Name

MOON

Business Name

MELLOW XAVIER MOON

Original Issue Date

03/30/2022

Effective Date

02/15/2026

Expiration Date

03/31/2027

City

MOLINE

State

Zip

61265

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

02/15/2026