NANCY LEE BENNETT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049060749

License Status

NOT RENEWED

Business

First Name

NANCY LEE

Last Name

BENNETT

Business Name

NANCY LEE BENNETT

Original Issue Date

01/02/1974

Effective Date

01/02/1974

Expiration Date

01/01/1997

City

BARTONVILLE

State

Zip

61607

County

PEORIA

Ever Disciplined

LastModifiedDate

10/17/2005