EARLENE A KEEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049145379

License Status

NOT RENEWED

Business

First Name

EARLENE

Middle

Last Name

KEEN

Business Name

EARLENE A KEEN

Original Issue Date

10/17/2002

Effective Date

10/17/2002

Expiration Date

03/31/2003

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/20/2005