TARA NICOLE DAVIS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049118913

License Status

NOT RENEWED

Business

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

City

RICHTON PARK

State

Zip

60471

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005