ROBERT DAVID SMITH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049143024

License Status

NOT RENEWED

Business

First Name

ROBERT

Middle

DAVID

Last Name

SMITH

Business Name

ROBERT DAVID SMITH

Original Issue Date

06/06/2002

Effective Date

06/06/2002

Expiration Date

03/31/2004

City

EAST PEORIA

State

Zip

61611

County

TAZEWELL

Ever Disciplined

LastModifiedDate

10/20/2005