DALE E KANAK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051025647

License Status

NOT RENEWED

Business

First Name

DALE E

Last Name

KANAK

Business Name

DALE E KANAK

Original Issue Date

01/01/1997

Effective Date

01/10/2008

Expiration Date

03/31/2010

City

GREEN LAKE

State

Zip

54941

County

WISCONSIN

Ever Disciplined

LastModifiedDate

05/04/2010