MICHAELA ADDISON DAVIS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049208565

License Status

NOT RENEWED

Business

First Name

MICHAELA

Middle

ADDISON

Last Name

DAVIS

Business Name

MICHAELA ADDISON DAVIS

Original Issue Date

01/05/2012

Effective Date

03/15/2013

Expiration Date

03/31/2014

City

DU QUOIN

State

Zip

62832

County

PERRY

Ever Disciplined

LastModifiedDate

05/06/2014