PRISCILLA VANESSA KEENE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049153082

License Status

NOT RENEWED

Business

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

City

EFFINGHAM

State

Zip

62401

County

EFFINGHAM

Ever Disciplined

LastModifiedDate

10/20/2005