DAVID ALAN DAVIS Pharmacist License verification

Business Entity

CANCELLED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049061319

License Status

CANCELLED

Business

First Name

DAVID ALAN

Last Name

DAVIS

Business Name

DAVID ALAN DAVIS

Original Issue Date

04/19/1974

Effective Date

04/19/1974

Expiration Date

01/01/1997

City

WATSON

State

Zip

62473

County

EFFINGHAM

Ever Disciplined

LastModifiedDate

10/17/2005