BENNIE SHELTON THOMAS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049071110

License Status

NOT RENEWED

Business

First Name

BENNIE

Middle

SHELTON

Last Name

THOMAS

Business Name

BENNIE SHELTON THOMAS

Original Issue Date

05/04/1979

Effective Date

01/19/2006

Expiration Date

03/31/2007

City

ASKEW

State

Zip

38621

County

MISSISSIPPI

Ever Disciplined

LastModifiedDate

05/14/2007