KEITH MICHAEL ANGSTADT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049157511

License Status

NOT RENEWED

Business

First Name

KEITH

Middle

MICHAEL

Last Name

ANGSTADT

Business Name

KEITH MICHAEL ANGSTADT

Original Issue Date

10/20/2004

Effective Date

10/20/2004

Expiration Date

03/31/2005

City

CHICAGO

State

Zip

60609

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005