MARYLYN M HENDERSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049157108

License Status

NOT RENEWED

Business

First Name

MARYLYN

Middle

Last Name

HENDERSON

Business Name

MARYLYN M HENDERSON

Original Issue Date

09/03/2004

Effective Date

03/17/2009

Expiration Date

03/31/2010

City

CHICAGO

State

Zip

60613

County

COOK

Ever Disciplined

LastModifiedDate

05/04/2010