JERRY L KELLER JR Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049168912

License Status

NOT RENEWED

Business

First Name

JERRY

Middle

Last Name

KELLER

Suffix

Business Name

JERRY L KELLER JR

Original Issue Date

05/24/2006

Effective Date

05/24/2006

Expiration Date

03/31/2007

City

TERRE HAUTE

State

Zip

47805

County

INDIANA

Ever Disciplined

LastModifiedDate

05/14/2007