KEITH SAMUEL PATRIDGE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049167310

License Status

NOT RENEWED

Business

First Name

KEITH

Middle

SAMUEL

Last Name

PATRIDGE

Business Name

KEITH SAMUEL PATRIDGE

Original Issue Date

04/05/2006

Effective Date

01/10/2008

Expiration Date

03/31/2009

City

NEWTON

State

Zip

62448

County

JASPER

Ever Disciplined

LastModifiedDate

05/06/2009