MIA BRENAE LATRICE DAVIS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049261389

License Status

NOT RENEWED

Business

First Name

MIA

Middle

BRENAE LATRICE

Last Name

DAVIS

Business Name

MIA BRENAE LATRICE DAVIS

Original Issue Date

11/27/2018

Effective Date

03/14/2019

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60623

County

COOK

Ever Disciplined

LastModifiedDate

01/08/2021