BENJAMIN ERVIN RAYMER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049133215

License Status

NOT RENEWED

Business

First Name

BENJAMIN

Middle

ERVIN

Last Name

RAYMER

Business Name

BENJAMIN ERVIN RAYMER

Original Issue Date

10/17/2000

Effective Date

10/17/2000

Expiration Date

03/31/2001

City

MACHESNEY PARK

State

Zip

61115

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/21/2005