LEO R SMITH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049059620

License Status

NOT RENEWED

Business

First Name

LEO R

Last Name

SMITH

Business Name

LEO R SMITH

Original Issue Date

06/01/1973

Effective Date

06/01/1973

Expiration Date

01/01/1997

City

ROCKFORD

State

Zip

61111

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/17/2005