PATRICIA M SMITH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049061050

License Status

NOT RENEWED

Business

First Name

PATRICIA M

Last Name

SMITH

Business Name

PATRICIA M SMITH

Original Issue Date

02/22/1974

Effective Date

02/22/1974

Expiration Date

01/01/1997

City

IVESDALE

State

Zip

61851

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

10/17/2005