BEN R BEQUETTE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049113935

License Status

NOT RENEWED

Business

First Name

BEN R

Last Name

BEQUETTE

Business Name

BEN R BEQUETTE

Original Issue Date

04/06/1996

Effective Date

04/06/1996

Expiration Date

03/31/2001

City

CENTRALIA

State

Zip

62801

County

MARION

Ever Disciplined

LastModifiedDate

10/21/2005