SUZANNE DAVENPORT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049058882

License Status

NOT RENEWED

Business

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

City

CHICAGO

State

Zip

60615

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005