JALLISA M HENRY - Pharmacist License in Illinois | # 049192701

JALLISA M HENRY

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049192701

License Status

NOT RENEWED

Business

N

First Name

JALLISA

Middle

M

Last Name

HENRY

Business Name

JALLISA M HENRY

Original Issue Date

06/29/2009

Effective Date

06/29/2009

Expiration Date

03/31/2010

State

IL

Ever Disciplined

N

LastModifiedDate

05/04/2010