KEAIRRA COFFEE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049211938

License Status

NOT RENEWED

Business

First Name

KEAIRRA

Last Name

COFFEE

Prefix

Business Name

KEAIRRA COFFEE

Original Issue Date

06/29/2012

Effective Date

07/14/2015

Expiration Date

03/31/2016

City

ROCKFORD

State

Zip

61103

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/20/2016