STACY A DAVIS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049165961

License Status

NOT RENEWED

Business

First Name

STACY

Middle

Last Name

DAVIS

Business Name

STACY A DAVIS

Original Issue Date

01/06/2006

Effective Date

01/06/2006

Expiration Date

03/31/2007

City

ROCKFORD

State

Zip

61103

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/14/2007