TIFFANY NICOLE SMITH - Pharmacist License in Illinois | # 049152985

TIFFANY NICOLE SMITH

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049152985

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

10/20/2005