BENITO ZAVALA JR Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049153527

License Status

NOT RENEWED

Business

First Name

BENITO

Last Name

ZAVALA

Suffix

Business Name

BENITO ZAVALA JR

Original Issue Date

03/09/2004

Effective Date

01/19/2006

Expiration Date

03/31/2007

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

05/14/2007