AUDREY RENEE DAVIS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049154874

License Status

NOT RENEWED

Business

First Name

AUDREY

Middle

RENEE

Last Name

DAVIS

Business Name

AUDREY RENEE DAVIS

Original Issue Date

06/10/2004

Effective Date

06/10/2004

Expiration Date

03/31/2005

City

BOLINGBROOK

State

Zip

60440

County

WILL

Ever Disciplined

LastModifiedDate

10/20/2005