JEFFERY DE DAVIS - Pharmacist License in Illinois | # 049191591

JEFFERY DE DAVIS

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049191591

License Status

NOT RENEWED

Business

N

First Name

JEFFERY

Middle

DE

Last Name

DAVIS

Prefix

MR

Business Name

JEFFERY DE DAVIS

Original Issue Date

05/11/2009

Effective Date

05/11/2009

Expiration Date

03/31/2010

State

IL

Ever Disciplined

N

LastModifiedDate

05/04/2010