LACREE DIANE DAVIS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049128939

License Status

NOT RENEWED

Business

First Name

LACREE

Middle

DIANE

Last Name

DAVIS

Business Name

LACREE DIANE DAVIS

Original Issue Date

01/14/2000

Effective Date

01/14/2000

Expiration Date

03/31/2001

City

MAYWOOD

State

Zip

60153

County

COOK

Ever Disciplined

LastModifiedDate

10/21/2005