STACY LEE SMITH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049096391

License Status

NOT RENEWED

Business

First Name

STACY LEE

Last Name

SMITH

Business Name

STACY LEE SMITH

Original Issue Date

04/05/1991

Effective Date

04/05/1991

Expiration Date

03/31/1996

City

CARLYLE

State

Zip

62231

County

CLINTON

Ever Disciplined

LastModifiedDate

10/17/2005