DIANDRA C DAVIDSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049156600

License Status

NOT RENEWED

Business

First Name

DIANDRA

Middle

Last Name

DAVIDSON

Business Name

DIANDRA C DAVIDSON

Original Issue Date

08/13/2004

Effective Date

08/13/2004

Expiration Date

03/31/2006

City

CHICAGO

State

Zip

60643

County

COOK

Ever Disciplined

LastModifiedDate

05/11/2006