SALLY J SMITH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049111235

License Status

NOT RENEWED

Business

First Name

SALLY J

Last Name

SMITH

Business Name

SALLY J SMITH

Original Issue Date

07/19/1995

Effective Date

02/25/2021

Expiration Date

05/31/2022

City

GRANTSBURG

State

Zip

62943

County

JOHNSON

Ever Disciplined

LastModifiedDate

07/27/2022