BRIAN SMITH Pharmacist License verification

Business Entity

CANCELLED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049070570

License Status

CANCELLED

Business

First Name

BRIAN

Last Name

SMITH

Business Name

BRIAN SMITH

Original Issue Date

01/12/1979

Effective Date

01/12/1979

Expiration Date

03/31/1982

City

ST ELMO

State

Zip

62458

County

EFFINGHAM

Ever Disciplined

LastModifiedDate

10/17/2005