BENJAMIN DALE RUPP Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049186568

License Status

NOT RENEWED

Business

First Name

BENJAMIN

Middle

DALE

Last Name

RUPP

Business Name

BENJAMIN DALE RUPP

Original Issue Date

08/26/2008

Effective Date

04/01/2010

Expiration Date

03/31/2011

City

EVANSTON

State

Zip

60201

County

COOK

Ever Disciplined

LastModifiedDate

05/12/2011