BRENDA S HENLEY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049133324

License Status

NOT RENEWED

Business

First Name

BRENDA

Middle

Last Name

HENLEY

Business Name

BRENDA S HENLEY

Original Issue Date

10/23/2000

Effective Date

10/23/2000

Expiration Date

03/31/2002

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Ever Disciplined

LastModifiedDate

12/06/2005