MARY ANN DAVIS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049058708

License Status

NOT RENEWED

Business

First Name

MARY ANN

Last Name

DAVIS

Business Name

MARY ANN DAVIS

Original Issue Date

11/18/1972

Effective Date

11/18/1972

Expiration Date

01/01/1997

City

LINCOLN

State

Zip

62656

County

LOGAN

Ever Disciplined

LastModifiedDate

10/17/2005