LAVERNE SMITH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049118535

License Status

NOT RENEWED

Business

First Name

LAVERNE

Last Name

SMITH

Business Name

LAVERNE SMITH

Original Issue Date

08/14/1997

Effective Date

08/14/1997

Expiration Date

03/31/2001

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

10/21/2005