HEATHER NICOLE HENDERICKSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049154588

License Status

NOT RENEWED

Business

First Name

HEATHER

Middle

NICOLE

Last Name

HENDERICKSON

Business Name

HEATHER NICOLE HENDERICKSON

Original Issue Date

05/26/2004

Effective Date

05/26/2004

Expiration Date

03/31/2005

City

WEST CHICAGO

State

Zip

60185

County

DUPAGE

Ever Disciplined

LastModifiedDate

10/20/2005