ERIN NICOLE KEITH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049143273

License Status

NOT RENEWED

Business

First Name

ERIN

Middle

NICOLE

Last Name

KEITH

Business Name

ERIN NICOLE KEITH

Original Issue Date

06/18/2002

Effective Date

06/18/2002

Expiration Date

03/31/2003

City

MARION

State

Zip

46953

County

INDIANA

Ever Disciplined

LastModifiedDate

10/20/2005