EBONY DAVENPORT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049236625

License Status

NOT RENEWED

Business

First Name

EBONY

Last Name

DAVENPORT

Business Name

EBONY DAVENPORT

Original Issue Date

10/02/2015

Effective Date

10/02/2015

Expiration Date

03/31/2016

City

GLENDALE HEIGHTS

State

Zip

60139

County

DUPAGE

Ever Disciplined

LastModifiedDate

05/20/2016