JUDITH LYN DAVENPORT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049069728

License Status

NOT RENEWED

Business

First Name

JUDITH LYN

Last Name

DAVENPORT

Business Name

JUDITH LYN DAVENPORT

Original Issue Date

07/14/1978

Effective Date

07/14/1978

Expiration Date

03/31/1984

City

CARLYLE

State

Zip

62231

County

CLINTON

Ever Disciplined

LastModifiedDate

10/17/2005