LISA MICHELLE SMITH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049128153

License Status

NOT RENEWED

Business

First Name

LISA

Middle

MICHELLE

Last Name

SMITH

Business Name

LISA MICHELLE SMITH

Original Issue Date

11/09/1999

Effective Date

11/09/1999

Expiration Date

03/31/2005

City

GRIGGSVILLE

State

Zip

62340

County

PIKE

Ever Disciplined

LastModifiedDate

10/20/2005