GLENN MAURICE DAVIS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049153063

License Status

NOT RENEWED

Business

First Name

GLENN

Middle

MAURICE

Last Name

DAVIS

Business Name

GLENN MAURICE DAVIS

Original Issue Date

01/29/2004

Effective Date

06/18/2012

Expiration Date

03/31/2013

City

SOUTH HOLLAND

State

Zip

60473

County

COOK

Ever Disciplined

LastModifiedDate

05/06/2013