KRYSTAL M MOORE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049211765

License Status

NOT RENEWED

Business

First Name

KRYSTAL

Middle

Last Name

MOORE

Business Name

KRYSTAL M MOORE

Original Issue Date

06/19/2012

Effective Date

03/17/2016

Expiration Date

03/31/2017

City

JANESVILLE

State

Zip

53545

County

WISCONSIN

Ever Disciplined

LastModifiedDate

05/10/2017