SUSAN M HENDERSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049094778

License Status

NOT RENEWED

Business

First Name

SUSAN M

Last Name

HENDERSON

Business Name

SUSAN M HENDERSON

Original Issue Date

10/16/1990

Effective Date

10/16/1990

Expiration Date

03/31/2003

City

CAHOKIA

State

Zip

62206

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

10/20/2005