STEPHANIE R DAVIS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049091205

License Status

NOT RENEWED

Business

First Name

STEPHANIE

Middle

Last Name

DAVIS

Business Name

STEPHANIE R DAVIS

Original Issue Date

09/26/1989

Effective Date

09/26/1989

Expiration Date

03/31/2005

City

KEWANEE

State

Zip

61443

County

HENRY

Ever Disciplined

LastModifiedDate

10/20/2005