KIM R BENTLEY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049109692

License Status

NOT RENEWED

Business

First Name

KIM R

Last Name

BENTLEY

Business Name

KIM R BENTLEY

Original Issue Date

03/02/1995

Effective Date

03/02/1995

Expiration Date

03/31/1997

City

ST CHARLES

State

Zip

60174

County

KANE

Ever Disciplined

LastModifiedDate

10/17/2005