Keith Breithaupt

License

Licensed by

Illinois Department of Financial and Professional Regulation

License number

049071515

Status

Inactive (Cancelled)

First issued

July 13, 1979

Expired

January 1, 1997

License holder

Keith Breithaupt

Entity type

Individual

Classifications

• Pharmacy Technician Pharmacy

More from the license record

Current term began

07/13/1979

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