TRACI JENISE HENRY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049119536

License Status

NOT RENEWED

Business

First Name

TRACI

Middle

JENISE

Last Name

HENRY

Business Name

TRACI JENISE HENRY

Original Issue Date

12/08/1997

Effective Date

12/08/1997

Expiration Date

03/31/2005

City

DOLTON

State

Zip

60419

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005