JENA DIANE DAVIS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049267748

License Status

NOT RENEWED

Business

First Name

JENA

Middle

DIANE

Last Name

DAVIS

Business Name

JENA DIANE DAVIS

Original Issue Date

09/06/2019

Effective Date

01/23/2020

Expiration Date

03/31/2021

City

HAMPSTEAD

State

Zip

28443

Ever Disciplined

LastModifiedDate

07/20/2021