KANDICE A BENNETT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049112822

License Status

NOT RENEWED

Business

First Name

KANDICE A

Last Name

BENNETT

Business Name

KANDICE A BENNETT

Original Issue Date

12/19/1995

Effective Date

12/19/1995

Expiration Date

03/31/2002

City

PEORIA

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

12/06/2005