THOMAS A DAVIDSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049057694

License Status

NOT RENEWED

Business

First Name

THOMAS A

Last Name

DAVIDSON

Business Name

THOMAS A DAVIDSON

Original Issue Date

05/16/1972

Effective Date

05/16/1972

Expiration Date

01/01/1997

City

PEORIA

State

Zip

61603

County

PEORIA

Ever Disciplined

LastModifiedDate

10/17/2005