JERIN ANN SMITH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049128485

License Status

NOT RENEWED

Business

First Name

JERIN

Middle

ANN

Last Name

SMITH

Business Name

JERIN ANN SMITH

Original Issue Date

12/07/1999

Effective Date

12/07/1999

Expiration Date

03/31/2005

City

VARNA

State

Zip

61375

County

MARSHALL

Ever Disciplined

LastModifiedDate

10/20/2005