LACREE DIANE DAVIS - Pharmacist License in Illinois | # 049128939

LACREE DIANE DAVIS

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049128939

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

10/21/2005