MELISSA M SMITH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049169467

License Status

NOT RENEWED

Business

First Name

MELISSA

Middle

Last Name

SMITH

Business Name

MELISSA M SMITH

Original Issue Date

06/21/2006

Effective Date

06/21/2006

Expiration Date

03/31/2007

City

HIGHLAND

State

Zip

62249

County

MADISON

Ever Disciplined

LastModifiedDate

05/14/2007