BENNJAMIN DUANE CLAUSSEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049206143

License Status

NOT RENEWED

Business

First Name

BENNJAMIN

Middle

DUANE

Last Name

CLAUSSEN

Business Name

BENNJAMIN DUANE CLAUSSEN

Original Issue Date

08/22/2011

Effective Date

08/22/2011

Expiration Date

03/31/2012

City

ROCKFORD

State

Zip

61114

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/07/2012