KEITH ALLEN WITT Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051033918

License Status

INACTIVE

Business

First Name

KEITH ALLEN

Last Name

WITT

Business Name

KEITH ALLEN WITT

Original Issue Date

07/30/1981

Effective Date

03/19/2012

Expiration Date

03/31/2014

City

ELKHORN

State

Zip

53121

County

WISCONSIN

Ever Disciplined

LastModifiedDate

01/09/2014