CONNIE KEEVEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049064012

License Status

NOT RENEWED

Business

First Name

CONNIE

Last Name

KEEVEN

Business Name

CONNIE KEEVEN

Original Issue Date

08/08/1975

Effective Date

08/08/1975

Expiration Date

01/01/1997

City

HIGHLAND

State

Zip

62249

County

MADISON

Ever Disciplined

LastModifiedDate

10/17/2005