DWIGHT D DAVENPORT - Pharmacist License in Illinois | # 049054460

DWIGHT D DAVENPORT

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049054460

License Status

NOT RENEWED

Business

N

First Name

DWIGHT D

Last Name

DAVENPORT

Business Name

DWIGHT D DAVENPORT

Original Issue Date

01/01/1997

Expiration Date

01/01/1997

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005