JACQUELINE M SMITH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049146466

License Status

NOT RENEWED

Business

First Name

JACQUELINE

Middle

Last Name

SMITH

Business Name

JACQUELINE M SMITH

Original Issue Date

12/19/2002

Effective Date

12/19/2002

Expiration Date

03/31/2004

City

NEW LENOX

State

Zip

60451

Ever Disciplined

LastModifiedDate

10/20/2005