ANDREA LYNN SMITH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049153799

License Status

NOT RENEWED

Business

First Name

ANDREA

Middle

LYNN

Last Name

SMITH

Business Name

ANDREA LYNN SMITH

Original Issue Date

03/19/2004

Effective Date

03/19/2004

Expiration Date

03/31/2005

City

CHILLICOTHE

State

Zip

61523

County

PEORIA

Ever Disciplined

LastModifiedDate

10/20/2005