MARC BENNETT DELA CRUZ RIVERA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049280464

License Status

NOT RENEWED

Business

First Name

MARC BENNETT

Middle

DELA CRUZ

Last Name

RIVERA

Business Name

MARC BENNETT DELA CRUZ RIVERA

Original Issue Date

03/17/2021

Effective Date

03/17/2021

Expiration Date

05/31/2022

City

POPLAR GROVE

State

Zip

61065

County

BOONE

Ever Disciplined

LastModifiedDate

07/27/2022