JERRY L DAVIS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049178457

License Status

NOT RENEWED

Business

First Name

JERRY

Middle

Last Name

DAVIS

Business Name

JERRY L DAVIS

Original Issue Date

08/15/2007

Effective Date

03/17/2010

Expiration Date

03/31/2011

City

WAUKEGAN

State

Zip

60087

County

LAKE

Ever Disciplined

LastModifiedDate

05/12/2011