RANDY C DAVIS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049166307

License Status

NOT RENEWED

Business

First Name

RANDY

Middle

Last Name

DAVIS

Business Name

RANDY C DAVIS

Original Issue Date

01/26/2006

Effective Date

01/26/2006

Expiration Date

03/31/2007

City

RIVERTON

State

Zip

62561

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/14/2007