SANDRA DAVIS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049221560

License Status

NOT RENEWED

Business

First Name

SANDRA

Last Name

DAVIS

Prefix

Business Name

SANDRA DAVIS

Original Issue Date

10/21/2013

Effective Date

03/10/2015

Expiration Date

03/31/2016

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/20/2016