KEITH R LOPEZ - Pharmacist License in Illinois | # 049091904

KEITH R LOPEZ

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049091904

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005