MARTIN JESSE DAVENPORT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051033121

License Status

NOT RENEWED

Business

First Name

MARTIN JESSE

Last Name

DAVENPORT

Business Name

MARTIN JESSE DAVENPORT

Original Issue Date

05/01/1980

Effective Date

07/30/2022

Expiration Date

03/31/2024

City

NEW CONCORD

State

Zip

42076

County

KENTUCKY

Ever Disciplined

LastModifiedDate

02/05/2025