LARRY J MOORE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049105409

License Status

NOT RENEWED

Business

First Name

LARRY J

Last Name

MOORE

Business Name

LARRY J MOORE

Original Issue Date

12/03/1993

Effective Date

12/03/1993

Expiration Date

03/31/1999

City

CROWN POINT

State

Zip

46307

County

INDIANA

Ever Disciplined

LastModifiedDate

10/17/2005