KEITH R RUNYON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049104044

License Status

NOT RENEWED

Business

First Name

KEITH R

Last Name

RUNYON

Business Name

KEITH R RUNYON

Original Issue Date

07/20/1993

Effective Date

07/20/1993

Expiration Date

03/31/2004

City

HAVANA

State

Zip

62644

County

MASON

Ever Disciplined

LastModifiedDate

10/20/2005