LACRESHA DIANE DAVIS - Pharmacist License in Illinois | # 049138434

LACRESHA DIANE DAVIS

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049138434

License Status

NOT RENEWED

Business

N

First Name

LACRESHA

Middle

DIANE

Last Name

DAVIS

Business Name

LACRESHA DIANE DAVIS

Original Issue Date

09/25/2001

Effective Date

09/25/2001

Expiration Date

03/31/2002

State

IL

Ever Disciplined

N

LastModifiedDate

12/06/2005