DOUGLAS K HENRICKSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049138882

License Status

NOT RENEWED

Business

First Name

DOUGLAS

Middle

Last Name

HENRICKSON

Business Name

DOUGLAS K HENRICKSON

Original Issue Date

10/30/2001

Effective Date

10/30/2001

Expiration Date

03/31/2005

City

SOUTH ELGIN

State

Zip

60177

County

KANE

Ever Disciplined

LastModifiedDate

10/20/2005