CLARICE SAMARA HENDERSON - Pharmacist License in Illinois | # 049157351

CLARICE SAMARA HENDERSON

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049157351

License Status

NOT RENEWED

Business

N

First Name

CLARICE

Middle

SAMARA

Last Name

HENDERSON

Business Name

CLARICE SAMARA HENDERSON

Original Issue Date

10/06/2004

Effective Date

10/06/2004

Expiration Date

03/31/2005

State

IL

Ever Disciplined

N

LastModifiedDate

10/20/2005