MICHAEL ROY BENHAM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049056998

License Status

NOT RENEWED

Business

First Name

MICHAEL ROY

Last Name

BENHAM

Business Name

MICHAEL ROY BENHAM

Original Issue Date

10/29/1971

Effective Date

10/29/1971

Expiration Date

01/01/1997

City

ELMHURST

State

Zip

60126

County

DUPAGE

Ever Disciplined

LastModifiedDate

10/17/2005