SAMANTHA A BENTON - Pharmacist License in Illinois | # 049176434

SAMANTHA A BENTON

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049176434

License Status

NOT RENEWED

Business

N

First Name

SAMANTHA

Middle

A

Last Name

BENTON

Business Name

SAMANTHA A BENTON

Original Issue Date

05/17/2007

Effective Date

05/17/2007

Expiration Date

03/31/2008

State

IL

Ever Disciplined

N

LastModifiedDate

05/02/2008