JACQUELINE RENEE SMITH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049147433

License Status

NOT RENEWED

Business

First Name

JACQUELINE

Middle

RENEE

Last Name

SMITH

Business Name

JACQUELINE RENEE SMITH

Original Issue Date

03/14/2003

Effective Date

03/14/2003

Expiration Date

03/31/2005

City

FOREST PARK

State

Zip

60130

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005