ROGER A SMITH JR Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049059998

License Status

NOT RENEWED

Business

First Name

ROGER A

Last Name

SMITH JR

Business Name

ROGER A SMITH JR

Original Issue Date

07/27/1973

Effective Date

07/27/1973

Expiration Date

01/01/1997

City

ROCKFORD

State

Zip

61103

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/17/2005