BETHANY MARIE SMITH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049155507

License Status

NOT RENEWED

Business

First Name

BETHANY

Middle

MARIE

Last Name

SMITH

Business Name

BETHANY MARIE SMITH

Original Issue Date

06/22/2004

Effective Date

06/22/2004

Expiration Date

03/31/2006

City

AVA

State

Zip

62907

County

JACKSON

Ever Disciplined

LastModifiedDate

05/11/2006