H MICHAEL SMITH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049147498

License Status

NOT RENEWED

Business

First Name

Middle

MICHAEL

Last Name

SMITH

Business Name

H MICHAEL SMITH

Original Issue Date

03/18/2003

Effective Date

03/18/2003

Expiration Date

03/31/2004

City

LOVES PARK

State

Zip

61111

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/20/2005