LATOSHA SHANIA DAVIS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049253199

License Status

NOT RENEWED

Business

First Name

LATOSHA

Middle

SHANIA

Last Name

DAVIS

Business Name

LATOSHA SHANIA DAVIS

Original Issue Date

09/20/2017

Effective Date

03/19/2019

Expiration Date

09/30/2020

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

01/08/2021