BAN A BENILAM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049207645

License Status

NOT RENEWED

Business

First Name

BAN

Middle

Last Name

BENILAM

Business Name

BAN A BENILAM

Original Issue Date

11/07/2011

Effective Date

11/07/2011

Expiration Date

03/31/2012

City

ROCKFORD

State

Zip

61114

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/07/2012