MANDY MICHELE BENNETT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049121239

License Status

NOT RENEWED

Business

First Name

MANDY

Middle

MICHELE

Last Name

BENNETT

Business Name

MANDY MICHELE BENNETT

Original Issue Date

05/28/1998

Effective Date

05/28/1998

Expiration Date

03/31/2004

City

STAUNTON

State

Zip

62088

County

MACOUPIN

Ever Disciplined

LastModifiedDate

10/20/2005