SHELLY ANN DAVIS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049124032

License Status

NOT RENEWED

Business

First Name

SHELLY

Middle

ANN

Last Name

DAVIS

Business Name

SHELLY ANN DAVIS

Original Issue Date

12/04/1998

Effective Date

03/09/2009

Expiration Date

03/31/2010

City

ROUND LAKE BEACH

State

Zip

60073

County

LAKE

Ever Disciplined

LastModifiedDate

05/04/2010