SHATARA D DAVIS - Pharmacist License in Illinois | # 049171403

SHATARA D DAVIS

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049171403

License Status

NOT RENEWED

Business

N

First Name

SHATARA

Middle

D

Last Name

DAVIS

Business Name

SHATARA D DAVIS

Original Issue Date

09/15/2006

Effective Date

09/15/2006

Expiration Date

03/31/2007

State

IL

Ever Disciplined

N

LastModifiedDate

05/14/2007