KYLE JUSTIN SMITH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049146623

License Status

NOT RENEWED

Business

First Name

KYLE

Middle

JUSTIN

Last Name

SMITH

Business Name

KYLE JUSTIN SMITH

Original Issue Date

01/07/2003

Effective Date

06/17/2009

Expiration Date

03/31/2010

City

SALEM

State

Zip

62881

County

MARION

Ever Disciplined

LastModifiedDate

05/04/2010