TINA SMITH Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049069940

License Status

INACTIVE

Business

First Name

TINA

Last Name

SMITH

Business Name

TINA SMITH

Original Issue Date

08/18/1978

Effective Date

03/22/2012

Expiration Date

03/31/2013

City

CERRO GORDO

State

Zip

61818

County

PIATT

Ever Disciplined

LastModifiedDate

01/03/2013