SHATAVRA LATEACE DAVIS - Pharmacist License in Illinois | # 049181985

SHATAVRA LATEACE DAVIS

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049181985

License Status

NOT RENEWED

Business

N

First Name

SHATAVRA

Middle

LATEACE

Last Name

DAVIS

Business Name

SHATAVRA LATEACE DAVIS

Original Issue Date

02/05/2008

Effective Date

02/05/2008

Expiration Date

03/31/2009

State

IL

Ever Disciplined

N

LastModifiedDate

05/06/2009