IRA TERRELLE SMITH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049153112

License Status

NOT RENEWED

Business

First Name

IRA

Middle

TERRELLE

Last Name

SMITH

Business Name

IRA TERRELLE SMITH

Original Issue Date

01/30/2004

Effective Date

01/30/2004

Expiration Date

03/31/2005

City

NAPERVILLE

State

Zip

60563

County

DUPAGE

Ever Disciplined

LastModifiedDate

10/20/2005