GARY BERNARD DAVENPORT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049061082

License Status

NOT RENEWED

Business

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

City

MT VERNON

State

Zip

62864

County

JEFFERSON

Ever Disciplined

LastModifiedDate

10/17/2005