KEITH DESHAWN FIELDS - Pharmacist License in Illinois | # 049275747

KEITH DESHAWN FIELDS

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049275747

License Status

NOT RENEWED

Business

N

First Name

KEITH

Middle

DESHAWN

Last Name

FIELDS

Business Name

KEITH DESHAWN FIELDS

Original Issue Date

09/15/2020

Effective Date

09/15/2020

Expiration Date

03/31/2021

State

IL

Ever Disciplined

N

LastModifiedDate

07/20/2021