Susan M Davenport
InactiveIllinois license 049060716
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 049060716
- Status
- Inactive (Cancelled)
- First issued
- December 14, 1973
- Expired
- January 1, 1997
- License holder
- Susan M Davenport
- Entity type
- Individual
Classifications
- Pharmacy Technician Pharmacy
More from the license record
- Current term began
- 12/14/1973
Contact
Chicago, IL 60619
Cook County