CARISSA MARIE BENNETT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049209213

License Status

NOT RENEWED

Business

First Name

CARISSA

Middle

MARIE

Last Name

BENNETT

Business Name

CARISSA MARIE BENNETT

Original Issue Date

02/15/2012

Effective Date

03/29/2017

Expiration Date

03/31/2018

City

TREMONT

State

Zip

61568

County

TAZEWELL

Ever Disciplined

LastModifiedDate

06/19/2018