MAENELL K BENNETT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049061024

License Status

NOT RENEWED

Business

First Name

MAENELL K

Last Name

BENNETT

Business Name

MAENELL K BENNETT

Original Issue Date

02/22/1974

Effective Date

02/22/1974

Expiration Date

01/01/1997

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/17/2005