KEITH MICHAEL SHEA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049071491

License Status

NOT RENEWED

Business

First Name

KEITH MICHAEL

Last Name

SHEA

Business Name

KEITH MICHAEL SHEA

Original Issue Date

07/06/1979

Effective Date

07/06/1979

Expiration Date

03/31/1984

City

EDWARDSVILLE

State

Zip

62025

County

MADISON

Ever Disciplined

LastModifiedDate

10/17/2005