LISA M KEENAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049154626

License Status

NOT RENEWED

Business

First Name

LISA

Middle

Last Name

KEENAN

Business Name

LISA M KEENAN

Original Issue Date

05/28/2004

Effective Date

02/26/2020

Expiration Date

03/31/2021

City

GRANVILLE

State

Zip

61326

County

PUTNAM

Ever Disciplined

LastModifiedDate

07/20/2021