AMANDA D BENNETT Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051292196

License Status

INACTIVE

Business

First Name

AMANDA

Middle

Last Name

BENNETT

Business Name

AMANDA D BENNETT

Original Issue Date

10/03/2007

Effective Date

02/01/2012

Expiration Date

03/31/2014

City

BUCKHANNON

State

Zip

26201

County

WEST VIRGINIA

Ever Disciplined

LastModifiedDate

01/09/2014