SAMUEL DALE KENNEDY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051031651

License Status

NOT RENEWED

Business

First Name

SAMUEL DALE

Last Name

KENNEDY

Business Name

SAMUEL DALE KENNEDY

Original Issue Date

08/18/1977

Effective Date

03/13/2022

Expiration Date

03/31/2024

City

WATERLOO

State

Zip

62298

County

MONROE

Ever Disciplined

LastModifiedDate

02/05/2025