JACOB LASHAN HENDERSON - Pharmacist License in Illinois | # 049128432

JACOB LASHAN HENDERSON

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049128432

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

10/21/2005