DIANA L DAVIS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049097111

License Status

NOT RENEWED

Business

First Name

DIANA L

Last Name

DAVIS

Business Name

DIANA L DAVIS

Original Issue Date

06/12/1991

Effective Date

06/12/1991

Expiration Date

03/31/1992

City

QUINCY

State

Zip

62301

County

ADAMS

Ever Disciplined

LastModifiedDate

10/17/2005