WALTER W SMITH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049157632

License Status

NOT RENEWED

Business

First Name

WALTER

Middle

Last Name

SMITH

Business Name

WALTER W SMITH

Original Issue Date

10/27/2004

Effective Date

01/19/2006

Expiration Date

03/31/2007

City

PEORIA

State

Zip

61604

County

PEORIA

Ever Disciplined

LastModifiedDate

05/14/2007