MARY L DAVIS Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049161238

License Status

INACTIVE

Business

First Name

MARY

Middle

Last Name

DAVIS

Business Name

MARY L DAVIS

Original Issue Date

05/23/2005

Effective Date

02/03/2009

Expiration Date

03/31/2010

City

PEORIA

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

01/12/2010