CHANDA LORELLE DAVIS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049124385

License Status

NOT RENEWED

Business

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

City

CHICAGO

State

Zip

60637

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005