KEITH MONGE Pharmacist License verification

Business Entity

ACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049215853

License Status

ACTIVE

Business

First Name

KEITH

Last Name

MONGE

Prefix

Business Name

KEITH MONGE

Original Issue Date

02/03/2013

Effective Date

01/31/2026

Expiration Date

03/31/2027

City

MARQUETTE HEIGHTS

State

Zip

61554

County

TAZEWELL

Ever Disciplined

LastModifiedDate

01/31/2026