MICHELLE M DAVIS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049194990

License Status

NOT RENEWED

Business

First Name

MICHELLE

Middle

Last Name

DAVIS

Business Name

MICHELLE M DAVIS

Original Issue Date

10/23/2009

Effective Date

08/20/2012

Expiration Date

03/31/2013

City

PECATONICA

State

Zip

61063

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/06/2013