KEITH MICHAEL EVERMAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049070786

License Status

NOT RENEWED

Business

First Name

KEITH MICHAEL

Last Name

EVERMAN

Business Name

KEITH MICHAEL EVERMAN

Original Issue Date

03/02/1979

Effective Date

03/02/1979

Expiration Date

03/31/1982

City

ELK GROVE VILLAGE

State

Zip

60007

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005