JACKIE ANE DAVIS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049136504

License Status

NOT RENEWED

Business

First Name

JACKIE

Middle

ANE

Last Name

DAVIS

Business Name

JACKIE ANE DAVIS

Original Issue Date

05/30/2001

Effective Date

01/19/2006

Expiration Date

03/31/2007

City

FREEPORT

State

Zip

61032

County

STEPHENSON

Ever Disciplined

LastModifiedDate

05/14/2007