TRAVIS JAMES KEEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049272188

License Status

NOT RENEWED

Business

First Name

TRAVIS

Middle

JAMES

Last Name

KEEN

Business Name

TRAVIS JAMES KEEN

Original Issue Date

04/01/2020

Effective Date

04/01/2020

Expiration Date

03/31/2021

City

SOUTH BELOIT

State

Zip

61080

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

07/20/2021