BRENTTESAE J SMITH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049130057

License Status

NOT RENEWED

Business

First Name

BRENTTESAE

Middle

Last Name

SMITH

Business Name

BRENTTESAE J SMITH

Original Issue Date

03/17/2000

Effective Date

03/17/2000

Expiration Date

03/31/2001

City

WAUKEGAN

State

Zip

60085

County

LAKE

Ever Disciplined

LastModifiedDate

10/21/2005