KEITH R FUENTES Pharmacist License verification

Business Entity

ACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051299712

License Status

ACTIVE

Business

First Name

KEITH

Middle

Last Name

FUENTES

Prefix

Business Name

KEITH R FUENTES

Original Issue Date

08/10/2016

Effective Date

02/14/2026

Expiration Date

03/31/2028

City

CHILLICOTHE

State

Zip

61523

County

PEORIA

Ever Disciplined

LastModifiedDate

02/14/2026