TISHA LANEE HENDRICKS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049117932

License Status

NOT RENEWED

Business

First Name

TISHA

Middle

LANEE

Last Name

HENDRICKS

Business Name

TISHA LANEE HENDRICKS

Original Issue Date

06/23/1997

Effective Date

06/23/1997

Expiration Date

03/31/2003

City

CHICAGO

State

Zip

60628

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005