THERON R SMITH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049149472

License Status

NOT RENEWED

Business

First Name

THERON

Middle

Last Name

SMITH

Business Name

THERON R SMITH

Original Issue Date

07/14/2003

Effective Date

07/14/2003

Expiration Date

03/31/2004

City

HAZELCREST

State

Zip

60429

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005