TRACY L BENNETT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049210696

License Status

NOT RENEWED

Business

First Name

TRACY

Middle

Last Name

BENNETT

Business Name

TRACY L BENNETT

Original Issue Date

04/30/2012

Effective Date

02/13/2014

Expiration Date

03/31/2015

City

OSWEGO

State

Zip

60543

County

KENDALL

Ever Disciplined

LastModifiedDate

05/11/2015