MICHELLE ANN DAVIS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049060130

License Status

NOT RENEWED

Business

First Name

MICHELLE ANN

Last Name

DAVIS

Business Name

MICHELLE ANN DAVIS

Original Issue Date

08/24/1973

Effective Date

08/24/1973

Expiration Date

01/01/1997

City

GALESBURG

State

Zip

61401

County

KNOX

Ever Disciplined

LastModifiedDate

10/17/2005