KEITH A BROWN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049266440

License Status

NOT RENEWED

Business

First Name

KEITH

Middle

Last Name

BROWN

Business Name

KEITH A BROWN

Original Issue Date

07/03/2019

Effective Date

07/03/2019

Expiration Date

09/30/2020

City

ROCKFORD

State

Zip

61114

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

01/08/2021