MARIE ANTOINETTE SMITH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049149988

License Status

NOT RENEWED

Business

First Name

MARIE

Middle

ANTOINETTE

Last Name

SMITH

Business Name

MARIE ANTOINETTE SMITH

Original Issue Date

08/20/2003

Effective Date

04/01/2010

Expiration Date

03/31/2011

City

PALMYRA

State

Zip

62674

County

MACOUPIN

Ever Disciplined

LastModifiedDate

05/12/2011