LANCE E BENEFIELD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049158293

License Status

NOT RENEWED

Business

First Name

LANCE

Middle

Last Name

BENEFIELD

Business Name

LANCE E BENEFIELD

Original Issue Date

12/13/2004

Effective Date

03/08/2016

Expiration Date

03/31/2017

City

DUNLAP

State

Zip

61525

County

PEORIA

Ever Disciplined

LastModifiedDate

05/10/2017