CLARRISSA MICHELLE DAVIS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049130971

License Status

NOT RENEWED

Business

First Name

CLARRISSA

Middle

MICHELLE

Last Name

DAVIS

Business Name

CLARRISSA MICHELLE DAVIS

Original Issue Date

05/26/2000

Effective Date

05/26/2000

Expiration Date

03/31/2005

City

ROCKFORD

State

Zip

61109

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/20/2005