SUSAN MARIE SMITH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049065640

License Status

NOT RENEWED

Business

First Name

SUSAN MARIE

Last Name

SMITH

Business Name

SUSAN MARIE SMITH

Original Issue Date

06/25/1976

Effective Date

06/25/1976

Expiration Date

01/01/1997

City

BELVIDERE

State

Zip

61008

County

BOONE

Ever Disciplined

LastModifiedDate

10/17/2005