MARY J DAVENPORT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049171941

License Status

NOT RENEWED

Business

First Name

MARY

Middle

Last Name

DAVENPORT

Business Name

MARY J DAVENPORT

Original Issue Date

10/17/2006

Effective Date

01/09/2007

Expiration Date

03/31/2008

City

DIXON

State

Zip

61021

County

LEE

Ever Disciplined

LastModifiedDate

05/02/2008