CLARICE SAMARA HENDERSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049157351

License Status

NOT RENEWED

Business

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

City

HARVEY

State

Zip

60426

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005