PATRICE H DAVIS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049218976

License Status

NOT RENEWED

Business

First Name

PATRICE

Middle

Last Name

DAVIS

Business Name

PATRICE H DAVIS

Original Issue Date

06/25/2013

Effective Date

03/20/2017

Expiration Date

03/31/2018

City

ROCKFORD

State

Zip

61103

Ever Disciplined

LastModifiedDate

06/19/2018