HENRY M TOM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049102237

License Status

NOT RENEWED

Business

First Name

HENRY M

Last Name

TOM

Business Name

HENRY M TOM

Original Issue Date

01/25/1993

Effective Date

01/25/1993

Expiration Date

03/31/1994

City

ROCK ISLAND

State

Zip

61201

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

10/17/2005