SHANE BENTON HAWLEY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049288940

License Status

NOT RENEWED

Business

First Name

SHANE

Middle

BENTON

Last Name

HAWLEY

Business Name

SHANE BENTON HAWLEY

Original Issue Date

12/17/2021

Effective Date

03/15/2022

Expiration Date

03/31/2023

City

DUNLAP

State

Zip

61525

County

ADAMS

Ever Disciplined

LastModifiedDate

09/07/2023