KEITH DESHAWN FIELDS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049275747

License Status

NOT RENEWED

Business

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

City

PEORIA

State

Zip

61603

County

ADAMS

Ever Disciplined

LastModifiedDate

07/20/2021