DAVID IRA HENDRICKS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049154442

License Status

NOT RENEWED

Business

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

City

LEBANON

State

Zip

62254

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

10/20/2005