MITCHELL ROBERT HENDRICKSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049155840

License Status

NOT RENEWED

Business

First Name

MITCHELL

Middle

ROBERT

Last Name

HENDRICKSON

Business Name

MITCHELL ROBERT HENDRICKSON

Original Issue Date

06/29/2004

Effective Date

04/14/2011

Expiration Date

03/31/2012

City

BELVIDERE

State

Zip

61008

County

BOONE

Ever Disciplined

LastModifiedDate

05/07/2012