JACOB L BENNETT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049301499

License Status

NOT RENEWED

Business

First Name

JACOB

Middle

Last Name

BENNETT

Business Name

JACOB L BENNETT

Original Issue Date

04/18/2023

Effective Date

04/18/2023

Expiration Date

03/31/2024

City

ROCKFORD

State

Zip

61109

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

01/03/2025