KEITH STANLEY SOUDERS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049298138

License Status

NOT RENEWED

Business

First Name

KEITH

Middle

STANLEY

Last Name

SOUDERS

Business Name

KEITH STANLEY SOUDERS

Original Issue Date

11/30/2022

Effective Date

03/14/2024

Expiration Date

03/31/2025

City

ROCKFORD

State

Zip

61102

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

07/08/2025