KELLY RAE SMITH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049118939

License Status

NOT RENEWED

Business

First Name

KELLY

Middle

RAE

Last Name

SMITH

Business Name

KELLY RAE SMITH

Original Issue Date

09/30/1997

Effective Date

09/30/1997

Expiration Date

03/31/1998

City

GLEN CARBON

State

Zip

62034

County

MADISON

Ever Disciplined

LastModifiedDate

10/17/2005