DEREK J HENLEY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049164328

License Status

NOT RENEWED

Business

First Name

DEREK

Middle

Last Name

HENLEY

Business Name

DEREK J HENLEY

Original Issue Date

10/03/2005

Effective Date

10/03/2005

Expiration Date

03/31/2006

City

BLOOMINGDALE

State

Zip

60108

County

DUPAGE

Ever Disciplined

LastModifiedDate

05/11/2006