SAMANTHA A BENTON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049176434

License Status

NOT RENEWED

Business

First Name

SAMANTHA

Middle

Last Name

BENTON

Business Name

SAMANTHA A BENTON

Original Issue Date

05/17/2007

Effective Date

05/17/2007

Expiration Date

03/31/2008

City

FORD HEIGHTS

State

Zip

60411

County

COOK

Ever Disciplined

LastModifiedDate

05/02/2008