SUSAN M DAVENPORT - Pharmacist License in Illinois | # 049060716

SUSAN M DAVENPORT

Business Entity

CANCELLED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049060716

License Status

CANCELLED

Business

N

First Name

SUSAN M

Last Name

DAVENPORT

Business Name

SUSAN M DAVENPORT

Original Issue Date

12/14/1973

Effective Date

12/14/1973

Expiration Date

01/01/1997

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005