COLLIN ANTHONY DAVIDSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049252964

License Status

NOT RENEWED

Business

First Name

COLLIN

Middle

ANTHONY

Last Name

DAVIDSON

Business Name

COLLIN ANTHONY DAVIDSON

Original Issue Date

09/12/2017

Effective Date

03/22/2019

Expiration Date

09/30/2020

City

LITCHFIELD

State

Zip

62056

County

MONTGOMERY

Ever Disciplined

LastModifiedDate

01/08/2021