KEITH A GERLACH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049095482

License Status

NOT RENEWED

Business

First Name

KEITH A

Last Name

GERLACH

Business Name

KEITH A GERLACH

Original Issue Date

01/22/1991

Effective Date

01/22/1991

Expiration Date

03/31/1992

City

DOLTON

State

Zip

60419

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005