KENNETH J LISEC Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

ASSISTANT PHARMACIST

License Number

050009170

License Status

INACTIVE

Business

First Name

KENNETH J

Last Name

LISEC

Business Name

KENNETH J LISEC

Original Issue Date

01/01/1998

Expiration Date

03/31/1990

City

SUN CITY

State

Zip

85351

County

ARIZONA

Ever Disciplined

LastModifiedDate

10/17/2005