JONATHAN LEE HENGST Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049065012

License Status

NOT RENEWED

Business

First Name

JONATHAN LEE

Last Name

HENGST

Business Name

JONATHAN LEE HENGST

Original Issue Date

03/12/1976

Effective Date

03/12/1976

Expiration Date

01/01/1997

City

DEER CREEK

State

Zip

61733

County

TAZEWELL

Ever Disciplined

LastModifiedDate

10/17/2005