JON GARY HENNINGER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049142862

License Status

NOT RENEWED

Business

First Name

JON

Middle

GARY

Last Name

HENNINGER

Business Name

JON GARY HENNINGER

Original Issue Date

06/03/2002

Effective Date

06/03/2002

Expiration Date

03/31/2003

City

ROSCOE

State

Zip

61073

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/20/2005