TRAVIS PAUL BENNER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049226230

License Status

NOT RENEWED

Business

First Name

TRAVIS

Middle

PAUL

Last Name

BENNER

Business Name

TRAVIS PAUL BENNER

Original Issue Date

06/27/2014

Effective Date

06/27/2014

Expiration Date

03/31/2015

City

ALTON

State

Zip

62002

County

MADISON

Ever Disciplined

LastModifiedDate

05/11/2015