GARY BERNARD DAVENPORT - Pharmacist License in Illinois | # 049061082

GARY BERNARD DAVENPORT

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049061082

License Status

NOT RENEWED

Business

N

First Name

GARY BERNARD

Last Name

DAVENPORT

Business Name

GARY BERNARD DAVENPORT

Original Issue Date

03/01/1974

Effective Date

03/01/1974

Expiration Date

01/01/1997

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005