DIANE M HENDRICKS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049064971

License Status

NOT RENEWED

Business

First Name

DIANE M

Last Name

HENDRICKS

Business Name

DIANE M HENDRICKS

Original Issue Date

03/05/1976

Effective Date

03/05/1976

Expiration Date

01/01/1997

City

TAYLORVILLE

State

Zip

62568

County

CHRISTIAN

Ever Disciplined

LastModifiedDate

10/17/2005