LEOTIS DAVENPORT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049117456

License Status

NOT RENEWED

Business

First Name

LEOTIS

Last Name

DAVENPORT

Business Name

LEOTIS DAVENPORT

Original Issue Date

05/01/1997

Effective Date

04/05/2010

Expiration Date

03/31/2011

City

KANKAKEE

State

Zip

60901

County

KANKAKEE

Ever Disciplined

LastModifiedDate

05/12/2011