SHANNON RENEE' HENDERSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049142861

License Status

NOT RENEWED

Business

First Name

SHANNON

Middle

RENEE'

Last Name

HENDERSON

Business Name

SHANNON RENEE' HENDERSON

Original Issue Date

06/03/2002

Effective Date

06/03/2002

Expiration Date

03/31/2003

City

ARCOLA

State

Zip

61910

County

DOUGLAS

Ever Disciplined

LastModifiedDate

10/20/2005