KIM E SMOCK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049064806

License Status

NOT RENEWED

Business

First Name

KIM E

Last Name

SMOCK

Business Name

KIM E SMOCK

Original Issue Date

01/30/1976

Effective Date

01/30/1976

Expiration Date

01/01/1997

City

MATTOON

State

Zip

61938

County

COLES

Ever Disciplined

LastModifiedDate

10/17/2005