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License Details

Name on License:
Kennel Vaccine Vet Supply Inc

Owner/Manager:
Kennel Vaccine Vet Supply Inc Owner

Address on License:
3190 N Road
David City, NE 68632

Telephone:
(402) 367-6047

Profession Name:
Pharmacy

License Type:
Community Pharmacy License

License Number:
2140

Date of Issuance:
12 / 27 / 1991

Date of Expiration:
07 / 01 / 2013

License Status:
Null and Void

Effective Date of Status:
01 / 02 / 2013

Reason for License Status:
Closed

Disciplinary/Non-Disciplinary Information

Additional information may be obtained from Licensure Unit (402) 471-2115 if actions are listed

Start
End
Disciplinary/Non-Disciplinary Action

07 / 16 / 1999
Nondisciplinary Assurance of Compliance

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