CAROLYN DAVIS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049062827

License Status

NOT RENEWED

Business

First Name

CAROLYN

Last Name

DAVIS

Business Name

CAROLYN DAVIS

Original Issue Date

01/24/1975

Effective Date

01/24/1975

Expiration Date

01/01/1997

City

MATTOON

State

Zip

61938

County

COLES

Ever Disciplined

LastModifiedDate

10/17/2005