ALYSSA KRISTINE HUMPHRES DAVIS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049269652

License Status

NOT RENEWED

Business

First Name

ALYSSA

Middle

KRISTINE

Last Name

HUMPHRES DAVIS

Business Name

ALYSSA KRISTINE HUMPHRES DAVIS

Original Issue Date

12/02/2019

Effective Date

12/02/2019

Expiration Date

09/30/2020

City

PEORIA

State

Zip

61604

County

PEORIA

Ever Disciplined

LastModifiedDate

01/08/2021