DERRELL DEMOND SMITH - Pharmacist License in Illinois | # 049160956

DERRELL DEMOND SMITH

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049160956

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

05/07/2012