KRYSTAL R DAVIS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049138915

License Status

NOT RENEWED

Business

First Name

KRYSTAL

Middle

Last Name

DAVIS

Business Name

KRYSTAL R DAVIS

Original Issue Date

10/31/2001

Effective Date

10/31/2001

Expiration Date

03/31/2005

City

SOUTH WILMINGTON

State

Zip

60474

County

GRUNDY

Ever Disciplined

LastModifiedDate

10/20/2005