KEITH B VENABLE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049112001

License Status

NOT RENEWED

Business

First Name

KEITH B

Last Name

VENABLE

Business Name

KEITH B VENABLE

Original Issue Date

10/04/1995

Effective Date

10/21/2005

Expiration Date

03/31/2006

City

CHICAGO

State

Zip

60640

County

COOK

Ever Disciplined

LastModifiedDate

05/11/2006