KEITH EDWARD FEDDEMA - Pharmacist License in Illinois | # 049263193

KEITH EDWARD FEDDEMA

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049263193

License Status

NOT RENEWED

Business

N

First Name

KEITH

Middle

EDWARD

Last Name

FEDDEMA

Business Name

KEITH EDWARD FEDDEMA

Original Issue Date

02/11/2019

Effective Date

01/04/2020

Expiration Date

03/31/2021

State

IL

Ever Disciplined

N

LastModifiedDate

07/20/2021