SUZANNE DAVENPORT - Pharmacist License in Illinois | # 049058882

SUZANNE DAVENPORT

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049058882

License Status

NOT RENEWED

Business

N

First Name

SUZANNE

Last Name

DAVENPORT

Business Name

SUZANNE DAVENPORT

Original Issue Date

01/09/1973

Effective Date

01/09/1973

Expiration Date

01/01/1997

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005