ZACHARY SETH SMALLEY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049136716

License Status

NOT RENEWED

Business

First Name

ZACHARY

Middle

SETH

Last Name

SMALLEY

Business Name

ZACHARY SETH SMALLEY

Original Issue Date

06/14/2001

Effective Date

01/16/2015

Expiration Date

03/31/2016

City

SALEM

State

Zip

62881

County

MARION

Ever Disciplined

LastModifiedDate

05/20/2016