KEENAN MICHAEL GIBBONS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049146105

License Status

NOT RENEWED

Business

First Name

KEENAN

Middle

MICHAEL

Last Name

GIBBONS

Business Name

KEENAN MICHAEL GIBBONS

Original Issue Date

11/26/2002

Effective Date

11/26/2002

Expiration Date

03/31/2003

City

FRANKFORT

State

Zip

60423

County

WILL

Ever Disciplined

LastModifiedDate

10/20/2005