GLEN ALLEN DAVIS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049045231

License Status

NOT RENEWED

Business

First Name

GLEN ALLEN

Last Name

DAVIS

Business Name

GLEN ALLEN DAVIS

Original Issue Date

01/01/1997

Expiration Date

01/01/1997

City

MORTON

State

Zip

61550

County

TAZEWELL

Ever Disciplined

LastModifiedDate

10/17/2005