BRIAN D DAVIS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049119912

License Status

NOT RENEWED

Business

First Name

BRIAN

Middle

Last Name

DAVIS

Business Name

BRIAN D DAVIS

Original Issue Date

01/22/1998

Effective Date

01/22/1998

Expiration Date

03/31/2004

City

STAUNTON

State

Zip

62088

County

MACOUPIN

Ever Disciplined

LastModifiedDate

10/20/2005