KELLY SMITH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049151361

License Status

NOT RENEWED

Business

First Name

KELLY

Last Name

SMITH

Business Name

KELLY SMITH

Original Issue Date

10/07/2003

Effective Date

03/02/2009

Expiration Date

03/31/2010

City

MONTICELLO

State

Zip

61856

County

PIATT

Ever Disciplined

LastModifiedDate

05/04/2010