Gary Bernard Davenport
ExpiredIllinois license 049061082
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 049061082
- Status
- Expired (Not Renewed)
- First issued
- March 1, 1974
- Expired
- January 1, 1997
- License holder
- Gary Bernard Davenport
- Entity type
- Individual
Classifications
- Pharmacy Technician Pharmacy
More from the license record
- Current term began
- 03/01/1974
Contact
Mt Vernon, IL 62864
Jefferson County