TERRANCE S SMITH Pharmacist License verification

Business Entity

CANCELLED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049065092

License Status

CANCELLED

Business

First Name

TERRANCE S

Last Name

SMITH

Business Name

TERRANCE S SMITH

Original Issue Date

03/26/1976

Effective Date

03/26/1976

Expiration Date

01/01/1997

City

PEORIA

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

10/17/2005