KEOTA E FALCONE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049063061

License Status

NOT RENEWED

Business

First Name

KEOTA E

Last Name

FALCONE

Business Name

KEOTA E FALCONE

Original Issue Date

03/07/1975

Effective Date

03/07/1975

Expiration Date

01/01/1997

City

ALTON

State

Zip

62002

County

MADISON

Ever Disciplined

LastModifiedDate

10/17/2005