Layne Darice Ale Moore
InactiveIllinois license 049058096
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 049058096
- Status
- Inactive (Cancelled)
- First issued
- July 15, 1972
- Expired
- January 1, 1997
- License holder
- Layne Darice Ale Moore
- Entity type
- Individual
Classifications
- Pharmacy Technician Pharmacy
More from the license record
- Current term began
- 07/15/1972
Contact
Rantoul, IL 61866
Champaign County