KEITH DAVID CAMPAGNA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051030302

License Status

NOT RENEWED

Business

First Name

KEITH DAVID

Last Name

CAMPAGNA

Business Name

KEITH DAVID CAMPAGNA

Original Issue Date

01/29/1975

Effective Date

01/29/1975

Expiration Date

01/01/1997

City

ARLINGTON HEIGHTS

State

Zip

60005

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005