JACOB HENRICKSEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049250840

License Status

NOT RENEWED

Business

First Name

JACOB

Last Name

HENRICKSEN

Business Name

JACOB HENRICKSEN

Original Issue Date

05/25/2017

Effective Date

02/12/2020

Expiration Date

03/31/2021

City

HUNTLEY

State

Zip

60142

Ever Disciplined

LastModifiedDate

07/20/2021