KEITH ALLEN WASH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049192446

License Status

NOT RENEWED

Business

First Name

KEITH

Middle

ALLEN

Last Name

WASH

Business Name

KEITH ALLEN WASH

Original Issue Date

06/19/2009

Effective Date

06/19/2009

Expiration Date

03/31/2010

City

PEORIA

State

Zip

61603

County

PEORIA

Ever Disciplined

LastModifiedDate

05/04/2010