PAUL B BENGOA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049104429

License Status

NOT RENEWED

Business

First Name

PAUL B

Last Name

BENGOA

Business Name

PAUL B BENGOA

Original Issue Date

09/03/1993

Effective Date

09/03/1993

Expiration Date

03/31/1994

City

MACHENSY PARK

State

Zip

61115

County

KANE

Ever Disciplined

LastModifiedDate

10/17/2005