ALTAZAH LE'COLE DAVIS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049252505

License Status

NOT RENEWED

Business

First Name

ALTAZAH

Middle

LE'COLE

Last Name

DAVIS

Business Name

ALTAZAH LE'COLE DAVIS

Original Issue Date

08/23/2017

Effective Date

04/24/2018

Expiration Date

03/31/2019

City

DANVILLE

State

Zip

61832

County

VERMILION

Ever Disciplined

LastModifiedDate

07/15/2019