KEYANNA S TRAVIS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049221422

License Status

NOT RENEWED

Business

First Name

KEYANNA

Middle

Last Name

TRAVIS

Prefix

Business Name

KEYANNA S TRAVIS

Original Issue Date

10/14/2013

Effective Date

04/27/2016

Expiration Date

03/31/2017

City

MERRILLVILLE

State

Zip

46410

County

INDIANA

Ever Disciplined

LastModifiedDate

05/10/2017