DIANA P DAVIS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049061873

License Status

NOT RENEWED

Business

First Name

DIANA P

Last Name

DAVIS

Business Name

DIANA P DAVIS

Original Issue Date

07/12/1974

Effective Date

07/12/1974

Expiration Date

03/31/1991

City

CALUMET CITY

State

Zip

60409

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005