BRENT W BENSON Pharmacist License verification

Business Entity

CANCELLED

License Type

Pharmacist

Description

OTHER CONTROLLED SUBSTANCE

License Number

097000086

License Status

CANCELLED

Business

Business Name

BRENT W BENSON

Original Issue Date

03/01/1972

Expiration Date

01/01/1997

City

CARBONDALE

State

Zip

62901

County

JACKSON

Ever Disciplined

LastModifiedDate

10/18/2005