JACKIE L HENSON - Pharmacist License in Illinois | # 049103516

JACKIE L HENSON

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049103516

License Status

NOT RENEWED

Business

N

First Name

JACKIE L

Last Name

HENSON

Business Name

JACKIE L HENSON

Original Issue Date

05/24/1993

Effective Date

05/24/1993

Expiration Date

03/31/1996

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005