KENNETH WALTER STACHNIK Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051029260

License Status

INACTIVE

Business

First Name

KENNETH WALTER

Last Name

STACHNIK

Business Name

KENNETH WALTER STACHNIK

Original Issue Date

08/05/1972

Effective Date

01/16/2018

Expiration Date

09/30/2020

City

WASHINGTON

State

Zip

61571

County

TAZEWELL

Ever Disciplined

LastModifiedDate

01/04/2020