WAYNE E BENGTSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049101315

License Status

NOT RENEWED

Business

First Name

WAYNE E

Last Name

BENGTSON

Business Name

WAYNE E BENGTSON

Original Issue Date

09/21/1992

Effective Date

01/10/2008

Expiration Date

03/31/2009

City

PARK RIDGE

State

Zip

60068

County

COOK

Ever Disciplined

LastModifiedDate

05/06/2009