CRYSTAL LASHA HENDERSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049249343

License Status

NOT RENEWED

Business

First Name

CRYSTAL

Middle

LASHA

Last Name

HENDERSON

Business Name

CRYSTAL LASHA HENDERSON

Original Issue Date

03/23/2017

Effective Date

03/23/2017

Expiration Date

03/31/2018

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

06/19/2018