KEELY MIZENBURG - Pharmacist License in Illinois | # 049258322

KEELY MIZENBURG

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049258322

License Status

NOT RENEWED

Business

N

First Name

KEELY

Last Name

MIZENBURG

Business Name

KEELY MIZENBURG

Original Issue Date

06/05/2018

Effective Date

02/28/2019

Expiration Date

09/30/2020

State

IL

Ever Disciplined

N

LastModifiedDate

01/08/2021