TEYA LARETT DAVIS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049196038

License Status

NOT RENEWED

Business

First Name

TEYA

Middle

LARETT

Last Name

DAVIS

Business Name

TEYA LARETT DAVIS

Original Issue Date

01/04/2010

Effective Date

01/04/2010

Expiration Date

03/31/2011

City

ROCKFORD

State

Zip

61102

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/12/2011