KIM M DAVIS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049083009

License Status

NOT RENEWED

Business

First Name

KIM M

Last Name

DAVIS

Business Name

KIM M DAVIS

Original Issue Date

07/14/1986

Effective Date

07/14/1986

Expiration Date

03/31/1990

City

CHAMPAIGN

State

Zip

61821

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

10/17/2005