KEITH KANAK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049111978

License Status

NOT RENEWED

Business

First Name

KEITH

Last Name

KANAK

Business Name

KEITH KANAK

Original Issue Date

09/28/1995

Effective Date

09/28/1995

Expiration Date

03/31/1997

City

MEDINAH

State

Zip

60157

County

DUPAGE

Ever Disciplined

LastModifiedDate

10/17/2005