TANETTE R HENDERSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049158619

License Status

NOT RENEWED

Business

First Name

TANETTE

Middle

Last Name

HENDERSON

Business Name

TANETTE R HENDERSON

Original Issue Date

12/27/2004

Effective Date

01/09/2007

Expiration Date

03/31/2008

City

JONESBORO

State

Zip

62952

County

UNION

Ever Disciplined

LastModifiedDate

05/02/2008