SAMUEL BERNARD KEEVEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049263590

License Status

NOT RENEWED

Business

First Name

SAMUEL

Middle

BERNARD

Last Name

KEEVEN

Business Name

SAMUEL BERNARD KEEVEN

Original Issue Date

02/25/2019

Effective Date

02/25/2019

Expiration Date

09/30/2020

City

COLUMBIA

State

Zip

62236

Ever Disciplined

LastModifiedDate

01/08/2021