BRENTTESAE J SMITH - Pharmacist License in Illinois | # 049130057

BRENTTESAE J SMITH

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049130057

License Status

NOT RENEWED

Business

N

First Name

BRENTTESAE

Middle

J

Last Name

SMITH

Business Name

BRENTTESAE J SMITH

Original Issue Date

03/17/2000

Effective Date

03/17/2000

Expiration Date

03/31/2001

State

IL

Ever Disciplined

N

LastModifiedDate

10/21/2005