BERTHA LORRAINE DAVIS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049054372

License Status

NOT RENEWED

Business

First Name

BERTHA LORRAINE

Last Name

DAVIS

Business Name

BERTHA LORRAINE DAVIS

Original Issue Date

01/01/1997

Expiration Date

03/31/1984

City

NILES

State

Zip

60648

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005