TIFFANY NICOLE SMITH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049152985

License Status

NOT RENEWED

Business

First Name

TIFFANY

Middle

NICOLE

Last Name

SMITH

Business Name

TIFFANY NICOLE SMITH

Original Issue Date

01/21/2004

Effective Date

01/21/2004

Expiration Date

03/31/2005

City

CHICAGO

State

Zip

60628

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005