LISA MARIE SMITH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049088207

License Status

NOT RENEWED

Business

First Name

LISA MARIE

Last Name

SMITH

Business Name

LISA MARIE SMITH

Original Issue Date

11/02/1988

Effective Date

11/02/1988

Expiration Date

03/31/1990

City

BLOOMINGTON

State

Zip

61704

County

MCLEAN

Ever Disciplined

LastModifiedDate

10/17/2005