MATTHEW E DAVIS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049140296

License Status

NOT RENEWED

Business

First Name

MATTHEW

Middle

Last Name

DAVIS

Business Name

MATTHEW E DAVIS

Original Issue Date

01/18/2002

Effective Date

03/23/2009

Expiration Date

03/31/2010

City

PAWNEE

State

Zip

62558

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/04/2010