SUSAN M KEITH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049106056

License Status

NOT RENEWED

Business

First Name

SUSAN M

Last Name

KEITH

Business Name

SUSAN M KEITH

Original Issue Date

02/24/1994

Effective Date

02/24/1994

Expiration Date

03/31/1998

City

DIXON

State

Zip

61021

County

LEE

Ever Disciplined

LastModifiedDate

10/17/2005