KENNETH JAMES SMITH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051031795

License Status

NOT RENEWED

Business

First Name

KENNETH

Middle

JAMES

Last Name

SMITH

Business Name

KENNETH JAMES SMITH

Original Issue Date

08/18/1977

Effective Date

03/31/2010

Expiration Date

03/31/2012

City

FLAGSTAFF

State

Zip

86001

County

ARIZONA

Ever Disciplined

LastModifiedDate

05/07/2012

Case Number

2010008408

Action

Revocation

Discipline Start Date

07/22/2011

Discipline Reason

after being disciplined by the state of Arizona based on conduct involving substance abuse and criminal behavior.