DOUGLAS KENT STUCKY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051028027

License Status

NOT RENEWED

Business

First Name

DOUGLAS KENT

Last Name

STUCKY

Business Name

DOUGLAS KENT STUCKY

Original Issue Date

01/01/1997

Expiration Date

03/31/1990

City

OCONTO FALLS

State

Zip

54154

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/17/2005

Case Number

1995002972

Action

Revocation

Discipline Start Date

03/07/1997

Discipline Reason

Disciplined in California and criminal conviction in Michigan.