GARY CHARLES KEITH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049148189

License Status

NOT RENEWED

Business

First Name

GARY

Middle

CHARLES

Last Name

KEITH

Business Name

GARY CHARLES KEITH

Original Issue Date

04/18/2003

Effective Date

04/18/2003

Expiration Date

03/31/2006

City

BLOOMINGTON

State

Zip

61704

County

MCLEAN

Ever Disciplined

LastModifiedDate

05/11/2006