LISA C HENDRICKSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049096123

License Status

NOT RENEWED

Business

First Name

LISA C

Last Name

HENDRICKSON

Business Name

LISA C HENDRICKSON

Original Issue Date

03/16/1991

Effective Date

03/16/1991

Expiration Date

03/31/1992

City

ROCHESTER

State

Zip

62563

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/17/2005