LISA A BENTON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049104965

License Status

NOT RENEWED

Business

First Name

LISA

Middle

Last Name

BENTON

Business Name

LISA A BENTON

Original Issue Date

10/21/1993

Effective Date

10/21/1993

Expiration Date

03/31/1996

City

SPRING HILL

State

Zip

34609

Ever Disciplined

LastModifiedDate

10/17/2005