KEITH V BREITHAUPT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051033597

License Status

NOT RENEWED

Business

First Name

KEITH V

Last Name

BREITHAUPT

Business Name

KEITH V BREITHAUPT

Original Issue Date

04/20/1981

Effective Date

06/29/2022

Expiration Date

03/31/2024

City

NIANGUA

State

Zip

65713

Ever Disciplined

LastModifiedDate

02/05/2025