ANDREA L MOORE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049153435

License Status

NOT RENEWED

Business

First Name

ANDREA

Middle

Last Name

MOORE

Business Name

ANDREA L MOORE

Original Issue Date

03/02/2004

Effective Date

04/05/2016

Expiration Date

03/31/2017

City

CROWN POINT

State

Zip

46307

County

INDIANA

Ever Disciplined

LastModifiedDate

05/10/2017