TARA NICOLE DAVIS - Pharmacist License in Illinois | # 049118913

TARA NICOLE DAVIS

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049118913

License Status

NOT RENEWED

Business

N

First Name

TARA

Middle

NICOLE

Last Name

DAVIS

Business Name

TARA NICOLE DAVIS

Original Issue Date

09/29/1997

Effective Date

09/29/1997

Expiration Date

03/31/1999

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005