DONALD J HENDERSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049154286

License Status

NOT RENEWED

Business

First Name

DONALD

Middle

Last Name

HENDERSON

Business Name

DONALD J HENDERSON

Original Issue Date

05/19/2004

Effective Date

05/19/2004

Expiration Date

03/31/2005

City

LIBERTYVILLE

State

Zip

60048

County

LAKE

Ever Disciplined

LastModifiedDate

10/20/2005