KENNETH J PETRUCCI Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051027997

License Status

INACTIVE

Business

First Name

KENNETH J

Last Name

PETRUCCI

Business Name

KENNETH J PETRUCCI

Original Issue Date

01/01/1997

Expiration Date

03/31/2000

City

FAIRFIELD

State

Zip

52556

County

JEFFERSON

Ever Disciplined

LastModifiedDate

12/06/2005