KEITH R HARRIS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049071750

License Status

NOT RENEWED

Business

First Name

KEITH R

Last Name

HARRIS

Business Name

KEITH R HARRIS

Original Issue Date

08/17/1979

Effective Date

08/17/1979

Expiration Date

01/01/1997

City

RANTOUL

State

Zip

61868

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

10/17/2005