JACOB LASHAN HENDERSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049128432

License Status

NOT RENEWED

Business

First Name

JACOB

Middle

LASHAN

Last Name

HENDERSON

Business Name

JACOB LASHAN HENDERSON

Original Issue Date

12/01/1999

Effective Date

12/01/1999

Expiration Date

03/31/2001

City

HANOVER PARK

State

Zip

60103

County

COOK

Ever Disciplined

LastModifiedDate

10/21/2005