KEITH JAMES TRIBLEY Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051031979

License Status

INACTIVE

Business

First Name

KEITH JAMES

Last Name

TRIBLEY

Business Name

KEITH JAMES TRIBLEY

Original Issue Date

02/10/1978

Effective Date

01/16/2020

Expiration Date

07/31/2022

City

PONTIAC

State

Zip

61764

County

LIVINGSTON

Ever Disciplined

LastModifiedDate

03/12/2022