SAMANTHA J DAVENPORT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049176735

License Status

NOT RENEWED

Business

First Name

SAMANTHA

Middle

Last Name

DAVENPORT

Business Name

SAMANTHA J DAVENPORT

Original Issue Date

06/01/2007

Effective Date

03/04/2013

Expiration Date

03/31/2014

City

DECATUR

State

Zip

62526

County

MACON

Ever Disciplined

LastModifiedDate

05/06/2014