JEAN R SMITH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049157905

License Status

NOT RENEWED

Business

First Name

JEAN

Middle

Last Name

SMITH

Business Name

JEAN R SMITH

Original Issue Date

11/17/2004

Effective Date

01/09/2007

Expiration Date

03/31/2008

City

GODFREY

State

Zip

62035

County

MADISON

Ever Disciplined

LastModifiedDate

05/02/2008