GRACE ELLEN BENANTI Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049210862

License Status

NOT RENEWED

Business

First Name

GRACE

Middle

ELLEN

Last Name

BENANTI

Business Name

GRACE ELLEN BENANTI

Original Issue Date

05/07/2012

Effective Date

01/21/2014

Expiration Date

03/31/2015

City

OAK PARK

State

Zip

60304

County

COOK

Ever Disciplined

LastModifiedDate

05/11/2015