MICHAEL DAVID HENDERSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049251064

License Status

NOT RENEWED

Business

First Name

MICHAEL

Middle

DAVID

Last Name

HENDERSON

Business Name

MICHAEL DAVID HENDERSON

Original Issue Date

06/05/2017

Effective Date

03/27/2019

Expiration Date

09/30/2020

City

GILLESPIE

State

Zip

62033

County

MACOUPIN

Ever Disciplined

LastModifiedDate

01/08/2021