AMANDA SUE SMITH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049154032

License Status

NOT RENEWED

Business

First Name

AMANDA

Middle

SUE

Last Name

SMITH

Business Name

AMANDA SUE SMITH

Original Issue Date

04/08/2004

Effective Date

03/19/2014

Expiration Date

03/31/2015

City

TROY

State

Zip

62294

County

MADISON

Ever Disciplined

LastModifiedDate

05/11/2015