KATHLEEN LOUISE SMITH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049155897

License Status

NOT RENEWED

Business

First Name

KATHLEEN

Middle

LOUISE

Last Name

SMITH

Business Name

KATHLEEN LOUISE SMITH

Original Issue Date

06/30/2004

Effective Date

06/01/2006

Expiration Date

03/31/2007

City

PEORIA

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

05/14/2007