BENJAMIN C CARLSTEAD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049155502

License Status

NOT RENEWED

Business

First Name

BENJAMIN

Middle

Last Name

CARLSTEAD

Business Name

BENJAMIN C CARLSTEAD

Original Issue Date

06/22/2004

Effective Date

06/22/2004

Expiration Date

03/31/2005

City

FLOSSMOOR

State

Zip

60422

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005