KATHLEEN S SMITH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049157372

License Status

NOT RENEWED

Business

First Name

KATHLEEN

Middle

Last Name

SMITH

Business Name

KATHLEEN S SMITH

Original Issue Date

10/07/2004

Effective Date

01/09/2007

Expiration Date

03/31/2008

City

MOUNT VERNON

State

Zip

62864

County

JEFFERSON

Ever Disciplined

LastModifiedDate

05/02/2008