ROBERTA ANN HENDERSHOT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049188716

License Status

NOT RENEWED

Business

First Name

ROBERTA

Middle

ANN

Last Name

HENDERSHOT

Business Name

ROBERTA ANN HENDERSHOT

Original Issue Date

12/15/2008

Effective Date

02/26/2009

Expiration Date

03/31/2010

City

HIGHLAND PARK

State

Zip

60035

County

LAKE

Ever Disciplined

LastModifiedDate

05/04/2010