TIFFANY L BENNETT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049166490

License Status

NOT RENEWED

Business

First Name

TIFFANY

Middle

Last Name

BENNETT

Business Name

TIFFANY L BENNETT

Original Issue Date

02/16/2006

Effective Date

02/16/2006

Expiration Date

03/31/2007

City

CHICAGO

State

Zip

60628

Ever Disciplined

LastModifiedDate

05/14/2007