HEATHER NICOLE HENDERICKSON - Pharmacist License in Illinois | # 049154588

HEATHER NICOLE HENDERICKSON

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049154588

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

10/20/2005