KIYONDA M BENNETT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049209757

License Status

NOT RENEWED

Business

First Name

KIYONDA

Middle

Last Name

BENNETT

Business Name

KIYONDA M BENNETT

Original Issue Date

03/15/2012

Effective Date

03/15/2012

Expiration Date

03/31/2013

City

CHICAGO

State

Zip

60653

County

COOK

Ever Disciplined

LastModifiedDate

05/06/2013