LEE WALTER DAVIS JR - Pharmacist License in Illinois | # 049124092

LEE WALTER DAVIS JR

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049124092

License Status

NOT RENEWED

Business

N

First Name

LEE

Middle

WALTER

Last Name

DAVIS

Suffix

JR

Business Name

LEE WALTER DAVIS JR

Original Issue Date

12/09/1998

Effective Date

12/09/1998

Expiration Date

03/31/2001

State

IL

Ever Disciplined

N

LastModifiedDate

10/21/2005