SAMUEL L DAVIS - Pharmacist License in Illinois | # 049207950

SAMUEL L DAVIS

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049207950

License Status

NOT RENEWED

Business

N

First Name

SAMUEL

Middle

L

Last Name

DAVIS

Prefix

MR

Business Name

SAMUEL L DAVIS

Original Issue Date

11/21/2011

Effective Date

11/21/2011

Expiration Date

03/31/2012

State

IL

Ever Disciplined

N

LastModifiedDate

05/07/2012