KEITH C PENN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049256220

License Status

NOT RENEWED

Business

First Name

KEITH

Middle

Last Name

PENN

Business Name

KEITH C PENN

Original Issue Date

02/16/2018

Effective Date

02/16/2018

Expiration Date

03/31/2019

City

BLOOMINGTON

State

Zip

61701

County

MCLEAN

Ever Disciplined

LastModifiedDate

07/15/2019