LOUISE VICKLUND MOORE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051023122

License Status

NOT RENEWED

Business

First Name

LOUISE VICKLUND

Last Name

MOORE

Business Name

LOUISE VICKLUND MOORE

Original Issue Date

01/01/1997

Effective Date

01/20/2012

Expiration Date

03/31/2014

City

WESTERN SPRINGS

State

Zip

60558

County

COOK

Ever Disciplined

LastModifiedDate

05/06/2014