LEIF E BENGTSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049094604

License Status

NOT RENEWED

Business

First Name

LEIF E

Last Name

BENGTSON

Business Name

LEIF E BENGTSON

Original Issue Date

09/29/1990

Effective Date

09/29/1990

Expiration Date

03/31/1992

City

PARK RIDGE

State

Zip

60068

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005