BENICIA BLUE - Pharmacist License in Illinois | # 049283436

BENICIA BLUE

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049283436

License Status

NOT RENEWED

Business

N

First Name

BENICIA

Last Name

BLUE

Business Name

BENICIA BLUE

Original Issue Date

06/17/2021

Effective Date

03/28/2022

Expiration Date

03/31/2023

State

IL

Ever Disciplined

N

LastModifiedDate

09/07/2023