DWIGHT D DAVENPORT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049054460

License Status

NOT RENEWED

Business

First Name

DWIGHT D

Last Name

DAVENPORT

Business Name

DWIGHT D DAVENPORT

Original Issue Date

01/01/1997

Expiration Date

01/01/1997

City

CHICAGO

State

Zip

60649

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005