IAN ROBERT DAVIS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049145745

License Status

NOT RENEWED

Business

First Name

IAN

Middle

ROBERT

Last Name

DAVIS

Business Name

IAN ROBERT DAVIS

Original Issue Date

11/12/2002

Effective Date

11/12/2002

Expiration Date

03/31/2006

City

HIGHLAND

State

Zip

62249

County

MADISON

Ever Disciplined

LastModifiedDate

05/11/2006