DAVID MATTHEW SMITH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049119529

License Status

NOT RENEWED

Business

First Name

DAVID

Middle

MATTHEW

Last Name

SMITH

Business Name

DAVID MATTHEW SMITH

Original Issue Date

12/05/1997

Effective Date

12/05/1997

Expiration Date

03/31/2003

City

MARSEILLES

State

Zip

61341

County

LA SALLE

Ever Disciplined

LastModifiedDate

10/20/2005