BASHAUN L BENFORD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049131212

License Status

NOT RENEWED

Business

First Name

BASHAUN

Middle

Last Name

BENFORD

Business Name

BASHAUN L BENFORD

Original Issue Date

06/15/2000

Effective Date

06/15/2000

Expiration Date

03/31/2004

City

GLENDALE HEIGHTS

State

Zip

60139

County

DUPAGE

Ever Disciplined

LastModifiedDate

10/20/2005