Martin Davenport
ExpiredIllinois license 049071872
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 049071872
- Status
- Expired (Not Renewed)
- First issued
- September 21, 1979
- Expired
- January 1, 1997
- License holder
- Martin Davenport
- Entity type
- Individual
Classifications
- Pharmacy Technician Pharmacy
More from the license record
- Current term began
- 09/21/1979
Contact
Mount Vernon, IL 62864
Jefferson County