STEPHANIE N BENNEHOFF Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049146602

License Status

NOT RENEWED

Business

First Name

STEPHANIE

Middle

Last Name

BENNEHOFF

Business Name

STEPHANIE N BENNEHOFF

Original Issue Date

01/07/2003

Effective Date

01/07/2003

Expiration Date

03/31/2004

City

ROCK CITY

State

Zip

61070

County

STEPHENSON

Ever Disciplined

LastModifiedDate

10/20/2005