STACEY J BENNETT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049117255

License Status

NOT RENEWED

Business

First Name

STACEY

Middle

Last Name

BENNETT

Business Name

STACEY J BENNETT

Original Issue Date

04/16/1997

Effective Date

04/16/1997

Expiration Date

03/31/2000

City

BENSENVILLE

State

Zip

60106

County

DUPAGE

Ever Disciplined

LastModifiedDate

10/21/2005