WILLIAM DAVENPORT

Business Entity
NOT RENEWED

Pharmacist

PHARMACY TECHNICIAN

049079913

NOT RENEWED

N

WILLIAM

DAVENPORT

WILLIAM DAVENPORT

07/05/1984

07/05/1984

03/31/1994

MAYWOOD

IL

60153

COOK

Y

10/17/2005

1993005636

Revocation

09/14/1994

Diverted a controlled substance.