AMANDA R DAVENPORT - Pharmacist License in Illinois | # 049206742

AMANDA R DAVENPORT

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049206742

License Status

NOT RENEWED

Business

N

First Name

AMANDA

Middle

R

Last Name

DAVENPORT

Prefix

MR

Business Name

AMANDA R DAVENPORT

Original Issue Date

09/17/2011

Effective Date

02/16/2021

Expiration Date

05/31/2022

State

IL

Ever Disciplined

N

LastModifiedDate

07/27/2022