KEITH R HERMANN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049138431

License Status

NOT RENEWED

Business

First Name

KEITH

Middle

Last Name

HERMANN

Business Name

KEITH R HERMANN

Original Issue Date

09/25/2001

Effective Date

09/25/2001

Expiration Date

03/31/2005

City

LAKE BARRINGTON

State

Zip

60010

County

LAKE

Ever Disciplined

LastModifiedDate

10/20/2005