KRISTINE A SMITH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049086054

License Status

NOT RENEWED

Business

First Name

KRISTINE A

Last Name

SMITH

Business Name

KRISTINE A SMITH

Original Issue Date

02/10/1988

Effective Date

02/10/1988

Expiration Date

03/31/1997

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/17/2005