DERRELL DEMOND SMITH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049160956

License Status

NOT RENEWED

Business

First Name

DERRELL

Middle

DEMOND

Last Name

SMITH

Business Name

DERRELL DEMOND SMITH

Original Issue Date

05/12/2005

Effective Date

03/28/2011

Expiration Date

03/31/2012

City

CHICAGO

State

Zip

60651

County

COOK

Ever Disciplined

LastModifiedDate

05/07/2012