BENICIA BLUE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049283436

License Status

NOT RENEWED

Business

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

City

EVERGREEN PK

State

Zip

60805

County

COOK

Ever Disciplined

LastModifiedDate

09/07/2023