BRYAN KEITH SMITH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049137515

License Status

NOT RENEWED

Business

First Name

BRYAN

Middle

KEITH

Last Name

SMITH

Business Name

BRYAN KEITH SMITH

Original Issue Date

08/07/2001

Effective Date

03/16/2012

Expiration Date

03/31/2013

City

CHICAGO

State

Zip

60626

County

COOK

Ever Disciplined

LastModifiedDate

05/06/2013