KEITH L TENNANT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049171349

License Status

NOT RENEWED

Business

First Name

KEITH

Middle

Last Name

TENNANT

Business Name

KEITH L TENNANT

Original Issue Date

09/14/2006

Effective Date

02/25/2013

Expiration Date

03/31/2014

City

CAROL STREAM

State

Zip

60188

County

DUPAGE

Ever Disciplined

LastModifiedDate

05/06/2014