DANIELLE M DAVIS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049147441

License Status

NOT RENEWED

Business

First Name

DANIELLE

Middle

Last Name

DAVIS

Business Name

DANIELLE M DAVIS

Original Issue Date

03/14/2003

Effective Date

03/14/2003

Expiration Date

03/31/2004

City

WASHINGTON

State

Zip

61571

County

TAZEWELL

Ever Disciplined

LastModifiedDate

10/20/2005