DUANE MARTELL SMITH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049154096

License Status

NOT RENEWED

Business

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

City

HARVEY

State

Zip

60426

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005