MAVIS SMITH Pharmacist License verification

Business Entity

CANCELLED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049070970

License Status

CANCELLED

Business

First Name

MAVIS

Last Name

SMITH

Business Name

MAVIS SMITH

Original Issue Date

04/06/1979

Effective Date

04/06/1979

Expiration Date

03/31/1984

City

GRANITE CITY

State

Zip

62040

County

MADISON

Ever Disciplined

LastModifiedDate

10/17/2005