KEITH HENDERSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049180151

License Status

NOT RENEWED

Business

First Name

KEITH

Last Name

HENDERSON

Business Name

KEITH HENDERSON

Original Issue Date

10/25/2007

Effective Date

10/25/2007

Expiration Date

03/31/2008

City

BRIDGEVIEW

State

Zip

60455

County

COOK

Ever Disciplined

LastModifiedDate

05/02/2008