ANETRA DIANE SMITH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049118505

License Status

NOT RENEWED

Business

First Name

ANETRA

Middle

DIANE

Last Name

SMITH

Business Name

ANETRA DIANE SMITH

Original Issue Date

08/13/1997

Effective Date

08/13/1997

Expiration Date

03/31/2000

City

CHICAGO

State

Zip

60640

County

COOK

Ever Disciplined

LastModifiedDate

10/21/2005