KEITH A MEDERNACH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049101876

License Status

NOT RENEWED

Business

First Name

KEITH A

Last Name

MEDERNACH

Business Name

KEITH A MEDERNACH

Original Issue Date

12/02/1992

Effective Date

12/02/1992

Expiration Date

03/31/1997

City

AURORA

State

Zip

60506

County

KANE

Ever Disciplined

LastModifiedDate

10/17/2005