LESLIE I BENNETT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051019091

License Status

NOT RENEWED

Business

First Name

LESLIE I

Last Name

BENNETT

Business Name

LESLIE I BENNETT

Original Issue Date

01/01/1997

Expiration Date

01/01/1997

City

HATLEY

State

Zip

54440

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/17/2005