NAKITA LYNN BENJAMIN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049173429

License Status

NOT RENEWED

Business

First Name

NAKITA

Middle

LYNN

Last Name

BENJAMIN

Business Name

NAKITA LYNN BENJAMIN

Original Issue Date

01/02/2007

Effective Date

01/02/2007

Expiration Date

03/31/2007

City

WINNEBAGO

State

Zip

61088

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/14/2007