NATHAN L SMITH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049147093

License Status

NOT RENEWED

Business

First Name

NATHAN

Middle

Last Name

SMITH

Business Name

NATHAN L SMITH

Original Issue Date

02/18/2003

Effective Date

02/18/2003

Expiration Date

03/31/2004

City

SALEM

State

Zip

62881

County

MARION

Ever Disciplined

LastModifiedDate

10/20/2005