RENEE MICHELE DAVENPORT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049151840

License Status

NOT RENEWED

Business

First Name

RENEE

Middle

MICHELE

Last Name

DAVENPORT

Business Name

RENEE MICHELE DAVENPORT

Original Issue Date

10/24/2003

Effective Date

10/24/2003

Expiration Date

03/31/2005

City

CHICAGO

State

Zip

60653

Ever Disciplined

LastModifiedDate

10/20/2005