DUANE W DAVIS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049059024

License Status

NOT RENEWED

Business

First Name

DUANE W

Last Name

DAVIS

Business Name

DUANE W DAVIS

Original Issue Date

02/06/1973

Effective Date

02/06/1973

Expiration Date

03/31/1992

City

MAHOMET

State

Zip

61853

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

10/17/2005