KELLYE ELIZABETH SMITH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049161595

License Status

NOT RENEWED

Business

First Name

KELLYE

Middle

ELIZABETH

Last Name

SMITH

Business Name

KELLYE ELIZABETH SMITH

Original Issue Date

06/09/2005

Effective Date

01/09/2007

Expiration Date

03/31/2008

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

05/02/2008