CHARLES L HENDRIKSEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049069251

License Status

NOT RENEWED

Business

First Name

CHARLES L

Last Name

HENDRIKSEN

Business Name

CHARLES L HENDRIKSEN

Original Issue Date

04/28/1978

Effective Date

04/28/1978

Expiration Date

01/01/1997

City

KEWANEE

State

Zip

61443

County

HENRY

Ever Disciplined

LastModifiedDate

10/17/2005