KEITH CHAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049062209

License Status

NOT RENEWED

Business

First Name

KEITH

Last Name

CHAN

Business Name

KEITH CHAN

Original Issue Date

09/06/1974

Effective Date

09/06/1974

Expiration Date

03/31/1988

City

YORKTOWN HEIGHTS

State

Zip

10598

County

NEW YORK

Ever Disciplined

LastModifiedDate

10/17/2005