T JEFFERSON DAVIS II Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051033707

License Status

INACTIVE

Business

First Name

T JEFFERSON

Last Name

DAVIS II

Business Name

T JEFFERSON DAVIS II

Original Issue Date

06/01/1981

Effective Date

06/01/1981

Expiration Date

03/31/1988

City

INDIANAPOLIS

State

Zip

46268

County

INDIANA

Ever Disciplined

LastModifiedDate

10/17/2005