BEN J PETRO Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049129666

License Status

NOT RENEWED

Business

First Name

BEN

Middle

Last Name

PETRO

Business Name

BEN J PETRO

Original Issue Date

03/01/2000

Effective Date

03/01/2000

Expiration Date

03/31/2002

City

LINCOLN

State

Zip

62656

County

LOGAN

Ever Disciplined

LastModifiedDate

12/06/2005