KEITH N MIERZWA Pharmacist License verification

Business Entity

ACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051033283

License Status

ACTIVE

Business

First Name

KEITH N

Last Name

MIERZWA

Business Name

KEITH N MIERZWA

Original Issue Date

08/05/1980

Effective Date

03/16/2026

Expiration Date

03/31/2028

City

ANTIOCH

State

Zip

60002

County

LAKE

Ever Disciplined

LastModifiedDate

03/16/2026