DARRELL M SMITH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049120821

License Status

NOT RENEWED

Business

First Name

DARRELL

Middle

Last Name

SMITH

Business Name

DARRELL M SMITH

Original Issue Date

04/28/1998

Effective Date

04/28/1998

Expiration Date

03/31/2001

City

ROCKFORD

State

Zip

61101

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/21/2005