RAQUEL L DAVIS Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049176550

License Status

INACTIVE

Business

First Name

RAQUEL

Middle

Last Name

DAVIS

Business Name

RAQUEL L DAVIS

Original Issue Date

05/23/2007

Effective Date

05/23/2007

Expiration Date

03/31/2008

City

ROCKFORD

State

Zip

61101

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

01/10/2008