BENJAMIN DALE GILLY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049196145

License Status

NOT RENEWED

Business

First Name

BENJAMIN

Middle

DALE

Last Name

GILLY

Business Name

BENJAMIN DALE GILLY

Original Issue Date

01/08/2010

Effective Date

02/10/2011

Expiration Date

03/31/2012

City

SAINT JOSEPH

State

Zip

61873

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

05/07/2012