KEITHLY RIVERA BANAYAT RUMMELL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049141927

License Status

NOT RENEWED

Business

First Name

KEITHLY

Middle

RIVERA

Last Name

BANAYAT RUMMELL

Business Name

KEITHLY RIVERA BANAYAT RUMMELL

Original Issue Date

04/17/2002

Effective Date

04/17/2002

Expiration Date

03/31/2003

City

ELK GROVE VILLAGE

State

Zip

60007

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005