STACEY J BENNETT - Pharmacist License in Illinois | # 049117255

STACEY J BENNETT

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049117255

License Status

NOT RENEWED

Business

N

First Name

STACEY

Middle

J

Last Name

BENNETT

Business Name

STACEY J BENNETT

Original Issue Date

04/16/1997

Effective Date

04/16/1997

Expiration Date

03/31/2000

State

IL

Ever Disciplined

N

LastModifiedDate

10/21/2005