ANTONIO J DAVILA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049153369

License Status

NOT RENEWED

Business

First Name

ANTONIO

Middle

Last Name

DAVILA

Business Name

ANTONIO J DAVILA

Original Issue Date

03/01/2004

Effective Date

06/04/2008

Expiration Date

03/31/2009

City

EAST CHICAGO

State

Zip

46312

County

INDIANA

Ever Disciplined

LastModifiedDate

05/06/2009