KENNETH A FICEK Pharmacist License verification

Business Entity

CANCELLED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049058545

License Status

CANCELLED

Business

First Name

KENNETH A

Last Name

FICEK

Business Name

KENNETH A FICEK

Original Issue Date

09/09/1972

Effective Date

09/09/1972

Expiration Date

01/01/1997

City

DECATUR

State

Zip

62526

County

MACON

Ever Disciplined

LastModifiedDate

10/17/2005