KENNETH A DAVIS - Pharmacist License in Illinois | # 049155450

KENNETH A DAVIS

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049155450

License Status

NOT RENEWED

Business

N

First Name

KENNETH

Middle

A

Last Name

DAVIS

Business Name

KENNETH A DAVIS

Original Issue Date

06/21/2004

Effective Date

06/21/2004

Expiration Date

03/31/2005

State

IL

Ever Disciplined

N

LastModifiedDate

10/20/2005