AMY MICHELLE SMITH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049128894

License Status

NOT RENEWED

Business

First Name

AMY

Middle

MICHELLE

Last Name

SMITH

Business Name

AMY MICHELLE SMITH

Original Issue Date

01/10/2000

Effective Date

01/10/2000

Expiration Date

03/31/2001

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/21/2005