KEITH R LOPEZ Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049091904

License Status

NOT RENEWED

Business

First Name

KEITH R

Last Name

LOPEZ

Business Name

KEITH R LOPEZ

Original Issue Date

12/22/1989

Effective Date

12/22/1989

Expiration Date

03/31/1991

City

CAROL STREAM

State

Zip

60188

County

DUPAGE

Ever Disciplined

LastModifiedDate

10/17/2005