PATRICIA LYNN BENNETT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049197541

License Status

NOT RENEWED

Business

First Name

PATRICIA

Middle

LYNN

Last Name

BENNETT

Business Name

PATRICIA LYNN BENNETT

Original Issue Date

03/30/2010

Effective Date

03/17/2011

Expiration Date

03/31/2012

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/07/2012