ADRIAN DALE DAVIDSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049127594

License Status

NOT RENEWED

Business

First Name

ADRIAN

Middle

DALE

Last Name

DAVIDSON

Business Name

ADRIAN DALE DAVIDSON

Original Issue Date

09/22/1999

Effective Date

03/07/2008

Expiration Date

03/31/2009

City

NEW BURNSIDE

State

Zip

62967

County

JOHNSON

Ever Disciplined

LastModifiedDate

05/06/2009