STEPHANIE D HENRICKS Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049156714

License Status

INACTIVE

Business

First Name

STEPHANIE

Middle

Last Name

HENRICKS

Business Name

STEPHANIE D HENRICKS

Original Issue Date

08/17/2004

Effective Date

01/10/2008

Expiration Date

03/31/2009

City

MORTON

State

Zip

61550

County

TAZEWELL

Ever Disciplined

LastModifiedDate

01/06/2009