MAXINE LAVERNE DAVIS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049115136

License Status

NOT RENEWED

Business

First Name

MAXINE

Middle

LAVERNE

Last Name

DAVIS

Business Name

MAXINE LAVERNE DAVIS

Original Issue Date

08/31/1996

Effective Date

03/15/2021

Expiration Date

05/31/2022

City

ROCK HILL

State

Zip

29732

County

INDIANA

Ever Disciplined

LastModifiedDate

07/27/2022