JUDITH LYN DAVENPORT - Pharmacist License in Illinois | # 049069728

JUDITH LYN DAVENPORT

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049069728

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005