THOMAS R BENSEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049220144

License Status

NOT RENEWED

Business

First Name

THOMAS R

Last Name

BENSEN

Business Name

THOMAS R BENSEN

Original Issue Date

08/20/2013

Effective Date

03/03/2014

Expiration Date

03/31/2015

City

LAKE VILLA

State

Zip

60046

County

LAKE

Ever Disciplined

LastModifiedDate

05/11/2015