SALLIE A SMITH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049062882

License Status

NOT RENEWED

Business

First Name

SALLIE A

Last Name

SMITH

Business Name

SALLIE A SMITH

Original Issue Date

02/07/1975

Effective Date

02/07/1975

Expiration Date

01/01/1997

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

10/17/2005