SHATAVRA LATEACE DAVIS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049181985

License Status

NOT RENEWED

Business

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

City

CHICAGO

State

Zip

60637

County

COOK

Ever Disciplined

LastModifiedDate

05/06/2009