STEPHEN EDWARD DAVIS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049125671

License Status

NOT RENEWED

Business

First Name

STEPHEN

Middle

EDWARD

Last Name

DAVIS

Business Name

STEPHEN EDWARD DAVIS

Original Issue Date

04/28/1999

Effective Date

04/28/1999

Expiration Date

03/31/2000

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/21/2005