SHAUNTELLE S HENDERSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049121649

License Status

NOT RENEWED

Business

First Name

SHAUNTELLE

Middle

Last Name

HENDERSON

Business Name

SHAUNTELLE S HENDERSON

Original Issue Date

06/22/1998

Effective Date

06/22/1998

Expiration Date

03/31/2005

City

CHICAGO

State

Zip

60609

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005