JAY M DAVIS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049069320

License Status

NOT RENEWED

Business

First Name

JAY M

Last Name

DAVIS

Business Name

JAY M DAVIS

Original Issue Date

05/12/1978

Effective Date

05/12/1978

Expiration Date

01/01/1997

City

LAKE VILLA

State

Zip

60046

County

LAKE

Ever Disciplined

LastModifiedDate

10/17/2005