DONALD LEE MOEN Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051286491

License Status

INACTIVE

Business

First Name

DONALD

Middle

LEE

Last Name

MOEN

Business Name

DONALD LEE MOEN

Original Issue Date

04/09/1998

Effective Date

02/24/2010

Expiration Date

03/31/2012

City

HANNIBAL

State

Zip

63401

County

MISSOURI

Ever Disciplined

LastModifiedDate

01/12/2012