DIANA PATRICE HENDERSON - Pharmacist License in Illinois | # 049294321

DIANA PATRICE HENDERSON

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049294321

License Status

NOT RENEWED

Business

N

First Name

DIANA

Middle

PATRICE

Last Name

HENDERSON

Business Name

DIANA PATRICE HENDERSON

Original Issue Date

07/23/2022

Effective Date

03/22/2024

Expiration Date

03/31/2025

State

IL

Ever Disciplined

N

LastModifiedDate

07/08/2025