Pharmacist
PHARMACY TECHNICIAN
049186616
NOT RENEWED
N
AMANDA
L
HENTHORN
AMANDA L HENTHORN
08/27/2008
04/07/2011
03/31/2012
TILTON
IL
61833
VERMILION
Y
08/27/2015
2012001028
Refuse To Renew
08/12/2015
for diversion of controlled substances.