BENJAMIN S DAKSLA JR Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049207558

License Status

INACTIVE

Business

First Name

BENJAMIN

Middle

Last Name

DAKSLA JR

Prefix

Business Name

BENJAMIN S DAKSLA JR

Original Issue Date

11/01/2011

Effective Date

01/31/2012

Expiration Date

03/31/2013

City

FORT PIERCE

State

Zip

34954

Ever Disciplined

LastModifiedDate

01/03/2013