KEITH WILLIAM NEUVIRTH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049142668

License Status

NOT RENEWED

Business

First Name

KEITH

Middle

WILLIAM

Last Name

NEUVIRTH

Business Name

KEITH WILLIAM NEUVIRTH

Original Issue Date

05/29/2002

Effective Date

05/29/2002

Expiration Date

03/31/2003

City

PARK CITY

State

Zip

60085

County

LAKE

Ever Disciplined

LastModifiedDate

10/20/2005