Jackie Ane Davis
ExpiredIllinois license 049136504
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 049136504
- Status
- Expired (Not Renewed)
- First issued
- May 30, 2001
- Expired
- March 31, 2007
- License holder
- Jackie Ane Davis
- Entity type
- Individual
Classifications
- Pharmacy Technician Pharmacy
More from the license record
- Current term began
- 01/19/2006
Contact
Freeport, IL 61032
Stephenson County