KENZIE LOU PRESTON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051031121

License Status

NOT RENEWED

Business

First Name

KENZIE LOU

Last Name

PRESTON

Business Name

KENZIE LOU PRESTON

Original Issue Date

08/06/1976

Effective Date

02/14/2012

Expiration Date

03/31/2014

City

CLARKSVILLE

State

Zip

21029

County

MARYLAND

Ever Disciplined

LastModifiedDate

05/06/2014