ANTIONETTE E DAVIS - Pharmacist License in Indiana | # 049197698

ANTIONETTE E DAVIS

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049197698

License Status

NOT RENEWED

Business

N

First Name

ANTIONETTE

Middle

E

Last Name

DAVIS

Prefix

MR

Business Name

ANTIONETTE E DAVIS

Original Issue Date

04/07/2010

Effective Date

04/07/2010

Expiration Date

03/31/2011

State

IN

Ever Disciplined

N

LastModifiedDate

05/12/2011