MICHAEL LANCE HENDERSON - Pharmacist License in Illinois | # 049115636

MICHAEL LANCE HENDERSON

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049115636

License Status

NOT RENEWED

Business

N

First Name

MICHAEL LANCE

Last Name

HENDERSON

Business Name

MICHAEL LANCE HENDERSON

Original Issue Date

10/23/1996

Effective Date

10/23/1996

Expiration Date

03/31/1998

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005