KEITH GOUWENS Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051021893

License Status

INACTIVE

Business

First Name

KEITH

Last Name

GOUWENS

Business Name

KEITH GOUWENS

Original Issue Date

01/01/1997

Expiration Date

03/31/1992

City

CHICAGO

State

Zip

60652

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005