KEONA THOMPSON MD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049202798

License Status

NOT RENEWED

Business

Title

First Name

KEONA

Last Name

THOMPSON

Prefix

Business Name

KEONA THOMPSON MD

Original Issue Date

02/17/2011

Effective Date

02/17/2011

Expiration Date

03/31/2012

City

RACINE

State

Zip

53406

County

WISCONSIN

Ever Disciplined

LastModifiedDate

05/07/2012