BENTON A WAYTZ Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051022780

License Status

INACTIVE

Business

First Name

BENTON A

Last Name

WAYTZ

Business Name

BENTON A WAYTZ

Original Issue Date

01/01/1997

Expiration Date

03/31/1990

City

EVANSTON

State

Zip

60202

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005