MATTHEW M DAVIS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049154875

License Status

NOT RENEWED

Business

First Name

MATTHEW

Middle

Last Name

DAVIS

Business Name

MATTHEW M DAVIS

Original Issue Date

06/10/2004

Effective Date

06/10/2004

Expiration Date

03/31/2005

City

CARLINVILLE

State

Zip

62626

County

MACOUPIN

Ever Disciplined

LastModifiedDate

10/20/2005