TRACY LYNN BENNETT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049158970

License Status

NOT RENEWED

Business

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

City

MURPHYSBORO

State

Zip

62966

County

JACKSON

Ever Disciplined

LastModifiedDate

05/06/2014