DIANE H DAVIS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049092349

License Status

NOT RENEWED

Business

First Name

DIANE H

Last Name

DAVIS

Business Name

DIANE H DAVIS

Original Issue Date

02/23/1990

Effective Date

02/23/1990

Expiration Date

03/31/1991

City

EAST MOLINE

State

Zip

61244

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

10/17/2005