BLANE ALAN MOLLER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051036033

License Status

NOT RENEWED

Business

First Name

BLANE ALAN

Last Name

MOLLER

Business Name

BLANE ALAN MOLLER

Original Issue Date

12/09/1985

Effective Date

02/26/2014

Expiration Date

03/31/2016

City

METROPOLIS

State

Zip

62960

County

MASSAC

Ever Disciplined

LastModifiedDate

05/20/2016