KEITH RAY CAPPS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049135971

License Status

NOT RENEWED

Business

First Name

KEITH

Middle

RAY

Last Name

CAPPS

Business Name

KEITH RAY CAPPS

Original Issue Date

04/19/2001

Effective Date

04/19/2001

Expiration Date

03/31/2002

City

MACHESNEY PARK

State

Zip

61115

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

08/03/2018