LARRY BENNETT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049152088

License Status

NOT RENEWED

Business

First Name

LARRY

Last Name

BENNETT

Business Name

LARRY BENNETT

Original Issue Date

11/06/2003

Effective Date

11/06/2003

Expiration Date

03/31/2004

City

CHICAGO

State

Zip

60618

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005