MATTHEW M DAVIS - Pharmacist License in Illinois | # 049154875

MATTHEW M DAVIS

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049154875

License Status

NOT RENEWED

Business

N

First Name

MATTHEW

Middle

M

Last Name

DAVIS

Business Name

MATTHEW M DAVIS

Original Issue Date

06/10/2004

Effective Date

06/10/2004

Expiration Date

03/31/2005

State

IL

Ever Disciplined

N

LastModifiedDate

10/20/2005