KENNETH L VENISNIK Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051027307

License Status

INACTIVE

Business

First Name

KENNETH L

Last Name

VENISNIK

Business Name

KENNETH L VENISNIK

Original Issue Date

01/01/1997

Expiration Date

03/31/2004

City

SCOTTSDALE

State

Zip

85258

County

ARIZONA

Ever Disciplined

LastModifiedDate

12/06/2005