DEREK J HENLEY - Pharmacist License in Illinois | # 049164328

DEREK J HENLEY

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049164328

License Status

NOT RENEWED

Business

N

First Name

DEREK

Middle

J

Last Name

HENLEY

Business Name

DEREK J HENLEY

Original Issue Date

10/03/2005

Effective Date

10/03/2005

Expiration Date

03/31/2006

State

IL

Ever Disciplined

N

LastModifiedDate

05/11/2006