BEN M MAYOL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049139300

License Status

NOT RENEWED

Business

First Name

BEN

Middle

Last Name

MAYOL

Business Name

BEN M MAYOL

Original Issue Date

11/26/2001

Effective Date

11/26/2001

Expiration Date

03/31/2002

City

BLOOMINGTON

State

Zip

61704

County

MCLEAN

Ever Disciplined

LastModifiedDate

12/06/2005