THERESE A KEITH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049058384

License Status

NOT RENEWED

Business

First Name

THERESE A

Last Name

KEITH

Business Name

THERESE A KEITH

Original Issue Date

09/06/1972

Effective Date

09/06/1972

Expiration Date

01/01/1997

City

CARBONDALE

State

Zip

62901

County

JACKSON

Ever Disciplined

LastModifiedDate

10/17/2005