T JEFFERSON DAVIS II - Pharmacist License in Indiana | # 051033707

T JEFFERSON DAVIS II

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051033707

License Status

INACTIVE

Business

N

First Name

T JEFFERSON

Last Name

DAVIS II

Business Name

T JEFFERSON DAVIS II

Original Issue Date

06/01/1981

Effective Date

06/01/1981

Expiration Date

03/31/1988

State

IN

Ever Disciplined

N

LastModifiedDate

10/17/2005