DWAYNE DAVIS - Pharmacist License in Illinois | # 049139239

DWAYNE DAVIS

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049139239

License Status

NOT RENEWED

Business

N

First Name

DWAYNE

Last Name

DAVIS

Business Name

DWAYNE DAVIS

Original Issue Date

11/15/2001

Effective Date

04/26/2010

Expiration Date

03/31/2011

State

IL

Ever Disciplined

N

LastModifiedDate

05/12/2011