BENNY M MATHEW - Pharmacist License in Illinois | # 049157617

BENNY M MATHEW

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049157617

License Status

NOT RENEWED

Business

N

First Name

BENNY

Middle

M

Last Name

MATHEW

Business Name

BENNY M MATHEW

Original Issue Date

10/27/2004

Effective Date

10/27/2004

Expiration Date

03/31/2005

State

IL

Ever Disciplined

N

LastModifiedDate

10/20/2005