LYDIA KATRINA HENSCHEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049127245

License Status

NOT RENEWED

Business

First Name

LYDIA

Middle

KATRINA

Last Name

HENSCHEN

Business Name

LYDIA KATRINA HENSCHEN

Original Issue Date

08/31/1999

Effective Date

08/31/1999

Expiration Date

03/31/2003

City

SPRINGFIELD

State

Zip

62707

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/20/2005