CHANDA LORELLE DAVIS - Pharmacist License in Illinois | # 049124385

CHANDA LORELLE DAVIS

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049124385

License Status

NOT RENEWED

Business

N

First Name

CHANDA

Middle

LORELLE

Last Name

DAVIS

Business Name

CHANDA LORELLE DAVIS

Original Issue Date

01/08/1999

Effective Date

01/08/1999

Expiration Date

03/31/2005

State

IL

Ever Disciplined

N

LastModifiedDate

10/20/2005