STEPHANIE D HENRICKS - Pharmacist License in Illinois | # 049156714

STEPHANIE D HENRICKS

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049156714

License Status

INACTIVE

Business

N

First Name

STEPHANIE

Middle

D

Last Name

HENRICKS

Business Name

STEPHANIE D HENRICKS

Original Issue Date

08/17/2004

Effective Date

01/10/2008

Expiration Date

03/31/2009

State

IL

Ever Disciplined

N

LastModifiedDate

01/06/2009