STACEY L HENCKEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051038266

License Status

NOT RENEWED

Business

First Name

STACEY L

Last Name

HENCKEN

Business Name

STACEY L HENCKEN

Original Issue Date

04/16/1991

Effective Date

04/16/1991

Expiration Date

03/31/1994

City

DOWNERS GROVE

State

Zip

60516

County

DUPAGE

Ever Disciplined

LastModifiedDate

10/17/2005