KELLI M DAVIS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049136601

License Status

NOT RENEWED

Business

First Name

KELLI

Middle

Last Name

DAVIS

Business Name

KELLI M DAVIS

Original Issue Date

06/06/2001

Effective Date

03/30/2009

Expiration Date

03/31/2010

City

PAWNEE

State

Zip

62558

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/04/2010