KEITH J BORTOLOTTI Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049138057

License Status

NOT RENEWED

Business

First Name

KEITH

Middle

Last Name

BORTOLOTTI

Business Name

KEITH J BORTOLOTTI

Original Issue Date

09/10/2001

Effective Date

01/14/2020

Expiration Date

03/31/2021

City

POPLAR GROVE

State

Zip

61065

County

BOONE

Ever Disciplined

LastModifiedDate

07/20/2021