JACKIE G HENDERSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049139949

License Status

NOT RENEWED

Business

First Name

JACKIE

Middle

Last Name

HENDERSON

Business Name

JACKIE G HENDERSON

Original Issue Date

01/14/2002

Effective Date

01/14/2002

Expiration Date

03/31/2004

City

CHICAGO

State

Zip

60639

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005