KEITH S WERNER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049060193

License Status

NOT RENEWED

Business

First Name

KEITH S

Last Name

WERNER

Business Name

KEITH S WERNER

Original Issue Date

08/31/1973

Effective Date

08/31/1973

Expiration Date

01/01/1997

City

CHICAGO

State

Zip

60656

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005