ETHAN DAVIS EDWARDS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049184910

License Status

NOT RENEWED

Business

First Name

ETHAN

Middle

DAVIS

Last Name

EDWARDS

Business Name

ETHAN DAVIS EDWARDS

Original Issue Date

06/13/2008

Effective Date

01/04/2020

Expiration Date

03/31/2021

City

CHATHAM

State

Zip

62629

County

SANGAMON

Ever Disciplined

LastModifiedDate

07/20/2021