BRIAN DAVID SMITH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049156748

License Status

NOT RENEWED

Business

First Name

BRIAN

Middle

DAVID

Last Name

SMITH

Business Name

BRIAN DAVID SMITH

Original Issue Date

08/18/2004

Effective Date

03/04/2009

Expiration Date

03/31/2010

City

CARTERVILLE

State

Zip

62918

Ever Disciplined

LastModifiedDate

05/04/2010