MATTHEW RAY DAVENPORT - Pharmacist License in Illinois | # 049248246

MATTHEW RAY DAVENPORT

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049248246

License Status

NOT RENEWED

Business

N

First Name

MATTHEW

Middle

RAY

Last Name

DAVENPORT

Business Name

MATTHEW RAY DAVENPORT

Original Issue Date

02/03/2017

Effective Date

02/03/2017

Expiration Date

03/31/2018

State

IL

Ever Disciplined

N

LastModifiedDate

06/19/2018