TRACY LYNN BENNETT - Pharmacist License in Illinois | # 049158970

TRACY LYNN BENNETT

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049158970

License Status

NOT RENEWED

Business

N

First Name

TRACY

Middle

LYNN

Last Name

BENNETT

Business Name

TRACY LYNN BENNETT

Original Issue Date

01/28/2005

Effective Date

04/01/2013

Expiration Date

03/31/2014

State

IL

Ever Disciplined

N

LastModifiedDate

05/06/2014