KENNETH WAYNE FORD - Pharmacist License in Wisconsin | # 051032653

KENNETH WAYNE FORD

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051032653

License Status

INACTIVE

Business

N

First Name

KENNETH WAYNE

Last Name

FORD

Business Name

KENNETH WAYNE FORD

Original Issue Date

05/14/1979

Effective Date

05/14/1979

Expiration Date

03/31/1990

State

WI

Ever Disciplined

N

LastModifiedDate

10/17/2005