DEREK W SMITH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049165611

License Status

NOT RENEWED

Business

First Name

DEREK

Middle

Last Name

SMITH

Business Name

DEREK W SMITH

Original Issue Date

12/14/2005

Effective Date

03/08/2013

Expiration Date

03/31/2014

City

HAVANA

State

Zip

62644

County

MASON

Ever Disciplined

LastModifiedDate

05/06/2014