GEORGIA B MOSS Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051035450

License Status

INACTIVE

Business

First Name

GEORGIA B

Last Name

MOSS

Business Name

GEORGIA B MOSS

Original Issue Date

09/05/1984

Effective Date

01/31/2018

Expiration Date

09/30/2020

City

FREDERICKTOWN

State

Zip

63645

County

MISSOURI

Ever Disciplined

LastModifiedDate

01/04/2020