BRENDA DORENE BENTON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049254499

License Status

NOT RENEWED

Business

First Name

BRENDA

Middle

DORENE

Last Name

BENTON

Business Name

BRENDA DORENE BENTON

Original Issue Date

11/29/2017

Effective Date

11/29/2017

Expiration Date

03/31/2018

City

CHAMPAIGN

State

Zip

61822

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

06/19/2018