KRISSY LATRICE BENTON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049252240

License Status

NOT RENEWED

Business

First Name

KRISSY

Middle

LATRICE

Last Name

BENTON

Business Name

KRISSY LATRICE BENTON

Original Issue Date

08/09/2017

Effective Date

03/14/2018

Expiration Date

03/31/2019

City

BLOOMINGTON

State

Zip

61701

County

MCLEAN

Ever Disciplined

LastModifiedDate

07/15/2019