LISA ANN BENNETT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049280538

License Status

NOT RENEWED

Business

First Name

LISA

Middle

ANN

Last Name

BENNETT

Business Name

LISA ANN BENNETT

Original Issue Date

03/22/2021

Effective Date

03/22/2021

Expiration Date

05/31/2022

City

PEORIA

State

Zip

61603

County

PEORIA

Ever Disciplined

LastModifiedDate

07/27/2022