ROSE TANYA DAVENPORT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049158246

License Status

NOT RENEWED

Business

First Name

ROSE

Middle

TANYA

Last Name

DAVENPORT

Business Name

ROSE TANYA DAVENPORT

Original Issue Date

12/09/2004

Effective Date

03/15/2015

Expiration Date

03/31/2016

City

PARK FOREST

State

Zip

60466

County

COOK

Ever Disciplined

LastModifiedDate

05/20/2016