SHATARA D DAVIS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049171403

License Status

NOT RENEWED

Business

First Name

SHATARA

Middle

Last Name

DAVIS

Business Name

SHATARA D DAVIS

Original Issue Date

09/15/2006

Effective Date

09/15/2006

Expiration Date

03/31/2007

City

GREAT LAKES

State

Zip

60088

County

LAKE

Ever Disciplined

LastModifiedDate

05/14/2007