JILL DIANE DAVIS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049127210

License Status

NOT RENEWED

Business

First Name

JILL

Middle

DIANE

Last Name

DAVIS

Business Name

JILL DIANE DAVIS

Original Issue Date

08/27/1999

Effective Date

08/27/1999

Expiration Date

03/31/2000

City

O FALLON

State

Zip

62269

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

10/02/2007