BERTHA LORRAINE DAVIS - Pharmacist License in Illinois | # 049054372

BERTHA LORRAINE DAVIS

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049054372

License Status

NOT RENEWED

Business

N

First Name

BERTHA LORRAINE

Last Name

DAVIS

Business Name

BERTHA LORRAINE DAVIS

Original Issue Date

01/01/1997

Expiration Date

03/31/1984

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005