DEREK W SMITH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049127680

License Status

NOT RENEWED

Business

First Name

DEREK

Middle

Last Name

SMITH

Business Name

DEREK W SMITH

Original Issue Date

09/27/1999

Effective Date

09/27/1999

Expiration Date

03/31/2004

City

PARK RIDGE

State

Zip

60068

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005