CHAD T KETELAAR Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049284181

License Status

NOT RENEWED

Business

First Name

CHAD

Middle

Last Name

KETELAAR

Business Name

CHAD T KETELAAR

Original Issue Date

07/20/2021

Effective Date

07/20/2021

Expiration Date

05/31/2022

City

DYER

State

Zip

46311

Ever Disciplined

LastModifiedDate

07/27/2022