CARMEN M SMITH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049114352

License Status

NOT RENEWED

Business

First Name

CARMEN

Middle

Last Name

SMITH

Business Name

CARMEN M SMITH

Original Issue Date

06/03/1996

Effective Date

06/03/1996

Expiration Date

03/31/2006

City

METAMORA

State

Zip

61548

County

WOODFORD

Ever Disciplined

LastModifiedDate

05/11/2006