INESSIE R DAVIS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049153096

License Status

NOT RENEWED

Business

First Name

INESSIE

Middle

Last Name

DAVIS

Business Name

INESSIE R DAVIS

Original Issue Date

01/30/2004

Effective Date

01/30/2004

Expiration Date

03/31/2005

City

ALTON

State

Zip

62002

County

MADISON

Ever Disciplined

LastModifiedDate

10/20/2005