KENNETH DALE TERRY Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051028566

License Status

INACTIVE

Business

First Name

KENNETH DALE

Last Name

TERRY

Business Name

KENNETH DALE TERRY

Original Issue Date

01/01/1997

Effective Date

03/11/2014

Expiration Date

03/31/2016

City

MT VERNON

State

Zip

62864

County

JEFFERSON

Ever Disciplined

LastModifiedDate

01/28/2016