PHILLIP J BENGUCHE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049171868

License Status

NOT RENEWED

Business

First Name

PHILLIP

Middle

Last Name

BENGUCHE

Business Name

PHILLIP J BENGUCHE

Original Issue Date

10/11/2006

Effective Date

10/11/2006

Expiration Date

03/31/2007

City

CHICAGO

State

Zip

60626

County

COOK

Ever Disciplined

LastModifiedDate

05/14/2007