JACKIE G HENDERSON - Pharmacist License in Illinois | # 049139949

JACKIE G HENDERSON

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049139949

License Status

NOT RENEWED

Business

N

First Name

JACKIE

Middle

G

Last Name

HENDERSON

Business Name

JACKIE G HENDERSON

Original Issue Date

01/14/2002

Effective Date

01/14/2002

Expiration Date

03/31/2004

State

IL

Ever Disciplined

N

LastModifiedDate

10/20/2005