KRISTY L BENJAMIN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049183745

License Status

NOT RENEWED

Business

First Name

KRISTY

Middle

Last Name

BENJAMIN

Business Name

KRISTY L BENJAMIN

Original Issue Date

04/21/2008

Effective Date

04/21/2008

Expiration Date

03/31/2009

City

ROCKFORD

State

Zip

61103

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/06/2009