LAVINA R SMITH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049164785

License Status

NOT RENEWED

Business

First Name

LAVINA

Middle

Last Name

SMITH

Business Name

LAVINA R SMITH

Original Issue Date

08/25/2005

Effective Date

03/24/2017

Expiration Date

03/31/2018

City

PEORIA

State

Zip

61615

County

PEORIA

Ever Disciplined

LastModifiedDate

06/19/2018