KESHAUN DEJUAN DAVENPORT - Pharmacist License in Illinois | # 049298355

KESHAUN DEJUAN DAVENPORT

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049298355

License Status

NOT RENEWED

Business

N

First Name

KESHAUN

Middle

DEJUAN

Last Name

DAVENPORT

Business Name

KESHAUN DEJUAN DAVENPORT

Original Issue Date

12/09/2022

Effective Date

12/09/2022

Expiration Date

03/31/2023

State

IL

Ever Disciplined

N

LastModifiedDate

09/07/2023