ALYSSA MARIE BENGSTON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049241400

License Status

NOT RENEWED

Business

First Name

ALYSSA

Middle

MARIE

Last Name

BENGSTON

Business Name

ALYSSA MARIE BENGSTON

Original Issue Date

04/26/2016

Effective Date

03/10/2017

Expiration Date

03/31/2018

City

KEWANEE

State

Zip

61443

County

HENRY

Ever Disciplined

LastModifiedDate

06/19/2018