LISA W DAVIS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049080413

License Status

NOT RENEWED

Business

First Name

LISA W

Last Name

DAVIS

Business Name

LISA W DAVIS

Original Issue Date

10/31/1984

Effective Date

10/31/1984

Expiration Date

03/31/1987

City

DECATUR

State

Zip

62522

County

MACON

Ever Disciplined

LastModifiedDate

10/17/2005