BEVERLY J BENNETT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049117091

License Status

NOT RENEWED

Business

First Name

BEVERLY

Middle

Last Name

BENNETT

Business Name

BEVERLY J BENNETT

Original Issue Date

04/04/1997

Effective Date

04/04/1997

Expiration Date

03/31/2001

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/21/2005