ELIZABETH NELL SMALL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049130736

License Status

NOT RENEWED

Business

First Name

ELIZABETH

Middle

NELL

Last Name

SMALL

Business Name

ELIZABETH NELL SMALL

Original Issue Date

05/02/2000

Effective Date

05/02/2000

Expiration Date

03/31/2001

City

SPRINGFIELD

State

Zip

62707

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/21/2005