TIFFANY L DAVENPORT Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049154826

License Status

INACTIVE

Business

First Name

TIFFANY

Middle

Last Name

DAVENPORT

Business Name

TIFFANY L DAVENPORT

Original Issue Date

06/08/2004

Effective Date

03/19/2021

Expiration Date

05/31/2022

City

CHICAGO

State

Zip

60619

County

COOK

Ever Disciplined

LastModifiedDate

02/28/2022