DENNIS LEE MOODY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051026923

License Status

NOT RENEWED

Business

First Name

DENNIS LEE

Last Name

MOODY

Business Name

DENNIS LEE MOODY

Original Issue Date

01/01/1997

Expiration Date

03/31/2002

City

SPARTA

State

Zip

62286

County

RANDOLPH

Ever Disciplined

LastModifiedDate

12/06/2005

Case Number

1993004385

Action

Reprimand

Discipline Start Date

04/20/1994

Discipline Reason

Substituted Medroxyprogesterone for Provera and charged the patient for Provera, while he was owner and pharmacist-in-charge, of Moody Pharmacy.