MICHAEL ROY BENHAM - Pharmacist License in Illinois | # 049056998

MICHAEL ROY BENHAM

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049056998

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005