FRED EUGENE MOODY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051030543

License Status

NOT RENEWED

Business

First Name

FRED EUGENE

Last Name

MOODY

Business Name

FRED EUGENE MOODY

Original Issue Date

07/25/1975

Effective Date

01/27/2010

Expiration Date

03/31/2012

City

TUSCOLA

State

Zip

61953

County

DOUGLAS

Ever Disciplined

LastModifiedDate

05/07/2012