KEENAN ISAIAH COLEMAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049280121

License Status

NOT RENEWED

Business

First Name

KEENAN

Middle

ISAIAH

Last Name

COLEMAN

Business Name

KEENAN ISAIAH COLEMAN

Original Issue Date

03/05/2021

Effective Date

03/05/2021

Expiration Date

05/31/2022

City

DOLTON

State

Zip

60419

County

ADAMS

Ever Disciplined

LastModifiedDate

07/27/2022