KEISHA MONIQUE SMITH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049125113

License Status

NOT RENEWED

Business

First Name

KEISHA

Middle

MONIQUE

Last Name

SMITH

Business Name

KEISHA MONIQUE SMITH

Original Issue Date

03/24/1999

Effective Date

03/24/1999

Expiration Date

03/31/2000

City

CHICAGO

State

Zip

60623

County

COOK

Ever Disciplined

LastModifiedDate

10/21/2005