TIMOTHY WAYNE HENKE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049261776

License Status

NOT RENEWED

Business

First Name

TIMOTHY

Middle

WAYNE

Last Name

HENKE

Business Name

TIMOTHY WAYNE HENKE

Original Issue Date

12/03/2018

Effective Date

12/03/2018

Expiration Date

03/31/2019

City

NORTH CHICAGO

State

Zip

60064

County

LAKE

Ever Disciplined

LastModifiedDate

07/15/2019