ROBYN LEE HENRICKS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049206004

License Status

NOT RENEWED

Business

First Name

ROBYN

Middle

LEE

Last Name

HENRICKS

Business Name

ROBYN LEE HENRICKS

Original Issue Date

08/15/2011

Effective Date

04/18/2014

Expiration Date

03/31/2015

City

FAIRFIELD

State

Zip

62837

County

WAYNE

Ever Disciplined

LastModifiedDate

05/11/2015