KEENA KAY COFFEY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049135931

License Status

NOT RENEWED

Business

First Name

KEENA

Middle

KAY

Last Name

COFFEY

Business Name

KEENA KAY COFFEY

Original Issue Date

04/18/2001

Effective Date

04/18/2001

Expiration Date

03/31/2004

City

NORRIS

State

Zip

61553

County

FULTON

Ever Disciplined

LastModifiedDate

10/20/2005