BENNIE JOE MANLEY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049113930

License Status

NOT RENEWED

Business

First Name

BENNIE JOE

Last Name

MANLEY

Business Name

BENNIE JOE MANLEY

Original Issue Date

04/06/1996

Effective Date

04/06/1996

Expiration Date

03/31/1998

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/17/2005