SARA NICOLE SMITH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049145911

License Status

NOT RENEWED

Business

First Name

SARA

Middle

NICOLE

Last Name

SMITH

Business Name

SARA NICOLE SMITH

Original Issue Date

11/19/2002

Effective Date

11/19/2002

Expiration Date

03/31/2005

City

BELVIDERE

State

Zip

61008

County

BOONE

Ever Disciplined

LastModifiedDate

10/20/2005