LAJETARRA A DAVIS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049180815

License Status

NOT RENEWED

Business

First Name

LAJETARRA

Middle

Last Name

DAVIS

Prefix

Business Name

LAJETARRA A DAVIS

Original Issue Date

11/29/2007

Effective Date

03/20/2008

Expiration Date

03/31/2009

City

CHICAGO

State

Zip

60617

County

COOK

Ever Disciplined

LastModifiedDate

05/06/2009