KEITH T EVANS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049156920

License Status

NOT RENEWED

Business

First Name

KEITH

Middle

Last Name

EVANS

Business Name

KEITH T EVANS

Original Issue Date

08/26/2004

Effective Date

03/15/2021

Expiration Date

05/31/2022

City

CHICAGO

State

Zip

60651

County

COOK

Ever Disciplined

LastModifiedDate

07/27/2022