TRICIA LEA BENNETT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049141792

License Status

NOT RENEWED

Business

First Name

TRICIA

Middle

LEA

Last Name

BENNETT

Business Name

TRICIA LEA BENNETT

Original Issue Date

04/12/2002

Effective Date

04/12/2002

Expiration Date

03/31/2006

City

PETERSBURG

State

Zip

62675

County

MENARD

Ever Disciplined

LastModifiedDate

05/11/2006