PRISCILLA VANESSA KEENE - Pharmacist License in Illinois | # 049153082

PRISCILLA VANESSA KEENE

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049153082

License Status

NOT RENEWED

Business

N

First Name

PRISCILLA

Middle

VANESSA

Last Name

KEENE

Business Name

PRISCILLA VANESSA KEENE

Original Issue Date

01/29/2004

Effective Date

01/29/2004

Expiration Date

03/31/2005

State

IL

Ever Disciplined

N

LastModifiedDate

10/20/2005