DENNIS RAYMOND SMITH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049145461

License Status

NOT RENEWED

Business

First Name

DENNIS

Middle

RAYMOND

Last Name

SMITH

Business Name

DENNIS RAYMOND SMITH

Original Issue Date

10/23/2002

Effective Date

10/23/2002

Expiration Date

03/31/2005

City

WAPELLA

State

Zip

61777

County

DE WITT

Ever Disciplined

LastModifiedDate

10/20/2005