SANDRA K SMITH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049142598

License Status

NOT RENEWED

Business

First Name

SANDRA

Middle

Last Name

SMITH

Business Name

SANDRA K SMITH

Original Issue Date

05/24/2002

Effective Date

03/09/2012

Expiration Date

03/31/2013

City

SPARTA

State

Zip

62286

County

RANDOLPH

Ever Disciplined

LastModifiedDate

05/06/2013