DAVID ALLEN SMITH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049152880

License Status

NOT RENEWED

Business

First Name

DAVID

Middle

ALLEN

Last Name

SMITH

Business Name

DAVID ALLEN SMITH

Original Issue Date

01/15/2004

Effective Date

03/31/2011

Expiration Date

03/31/2012

City

BLUE ISLAND

State

Zip

60406

County

COOK

Ever Disciplined

LastModifiedDate

05/07/2012