ANTIONETTE E DAVIS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049197698

License Status

NOT RENEWED

Business

First Name

ANTIONETTE

Middle

Last Name

DAVIS

Prefix

Business Name

ANTIONETTE E DAVIS

Original Issue Date

04/07/2010

Effective Date

04/07/2010

Expiration Date

03/31/2011

City

HAMMOND

State

Zip

46320

County

INDIANA

Ever Disciplined

LastModifiedDate

05/12/2011