STACIE M. SMITH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049107439

License Status

NOT RENEWED

Business

First Name

STACIE

Middle

Last Name

SMITH

Business Name

STACIE M. SMITH

Original Issue Date

07/01/1994

Effective Date

07/01/1994

Expiration Date

03/31/1998

City

LECLAIRE

State

Zip

52753

County

IOWA

Ever Disciplined

LastModifiedDate

10/17/2005