KEEGAN G WEST Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049164859

License Status

NOT RENEWED

Business

First Name

KEEGAN

Middle

Last Name

WEST

Business Name

KEEGAN G WEST

Original Issue Date

11/08/2005

Effective Date

01/19/2006

Expiration Date

03/31/2007

City

ROCKFORD

State

Zip

61103

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/14/2007