DAVID IRA HENDRICKS - Pharmacist License in Illinois | # 049154442

DAVID IRA HENDRICKS

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049154442

License Status

NOT RENEWED

Business

N

First Name

DAVID

Middle

IRA

Last Name

HENDRICKS

Business Name

DAVID IRA HENDRICKS

Original Issue Date

05/21/2004

Effective Date

05/21/2004

Expiration Date

03/31/2005

State

IL

Ever Disciplined

N

LastModifiedDate

10/20/2005