JUSTIN R DAVIS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049200878

License Status

NOT RENEWED

Business

First Name

JUSTIN

Middle

Last Name

DAVIS

Business Name

JUSTIN R DAVIS

Original Issue Date

10/06/2010

Effective Date

10/06/2010

Expiration Date

03/31/2011

City

ROCKFORD

State

Zip

61104

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/12/2011