BENJAMIN W KLEEMAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049131147

License Status

NOT RENEWED

Business

First Name

BENJAMIN

Middle

Last Name

KLEEMAN

Business Name

BENJAMIN W KLEEMAN

Original Issue Date

06/13/2000

Effective Date

06/13/2000

Expiration Date

03/31/2001

City

CARLINVILLE

State

Zip

62626

County

MACOUPIN

Ever Disciplined

LastModifiedDate

10/21/2005