KEVIN HENDERSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051038722

License Status

NOT RENEWED

Business

First Name

KEVIN

Last Name

HENDERSON

Business Name

KEVIN HENDERSON

Original Issue Date

12/10/1991

Effective Date

12/10/1991

Expiration Date

03/31/1996

City

PEORIA

State

Zip

61603

County

PEORIA

Ever Disciplined

LastModifiedDate

10/17/2005