BENJAMIN R BACKSTROM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049230031

License Status

NOT RENEWED

Business

First Name

BENJAMIN

Middle

Last Name

BACKSTROM

Prefix

Business Name

BENJAMIN R BACKSTROM

Original Issue Date

12/22/2014

Effective Date

03/31/2015

Expiration Date

03/31/2016

City

BRADLEY

State

Zip

60915

County

KANKAKEE

Ever Disciplined

LastModifiedDate

05/20/2016