STACY L HENDRICKS Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051037834

License Status

INACTIVE

Business

First Name

STACY L

Last Name

HENDRICKS

Business Name

STACY L HENDRICKS

Original Issue Date

08/14/1990

Effective Date

08/14/1990

Expiration Date

03/31/1992

City

MARTINSVILLE

State

Zip

46151

County

INDIANA

Ever Disciplined

LastModifiedDate

10/17/2005