HANS JONATHAN HENRIQUEZ MD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049194085

License Status

NOT RENEWED

Business

Title

First Name

HANS

Middle

JONATHAN

Last Name

HENRIQUEZ

Prefix

Business Name

HANS JONATHAN HENRIQUEZ MD

Original Issue Date

09/08/2009

Effective Date

09/08/2009

Expiration Date

03/31/2010

City

OAK BROOK

State

Zip

60523

County

DUPAGE

Ever Disciplined

LastModifiedDate

05/04/2010