KEVIN D SMITH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049156163

License Status

NOT RENEWED

Business

First Name

KEVIN

Middle

Last Name

SMITH

Business Name

KEVIN D SMITH

Original Issue Date

07/23/2004

Effective Date

07/23/2004

Expiration Date

03/31/2005

City

CHICAGO

State

Zip

60619

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005