TIMOTHY E MOORE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051039737

License Status

NOT RENEWED

Business

First Name

TIMOTHY E

Last Name

MOORE

Business Name

TIMOTHY E MOORE

Original Issue Date

06/13/1994

Effective Date

06/13/1994

Expiration Date

03/31/1996

City

CENTRALIA

State

Zip

62801

County

MARION

Ever Disciplined

LastModifiedDate

10/17/2005