DUANE MARTELL SMITH - Pharmacist License in Illinois | # 049154096

DUANE MARTELL SMITH

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049154096

License Status

NOT RENEWED

Business

N

First Name

DUANE

Middle

MARTELL

Last Name

SMITH

Business Name

DUANE MARTELL SMITH

Original Issue Date

04/16/2004

Effective Date

04/16/2004

Expiration Date

03/31/2005

State

IL

Ever Disciplined

N

LastModifiedDate

10/20/2005