KEATON L WALL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049210812

License Status

NOT RENEWED

Business

First Name

KEATON

Middle

Last Name

WALL

Prefix

Business Name

KEATON L WALL

Original Issue Date

05/04/2012

Effective Date

03/25/2015

Expiration Date

03/31/2016

City

LEMONT

State

Zip

60439

County

DUPAGE

Ever Disciplined

LastModifiedDate

05/20/2016