KELLY L SMITH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049174580

License Status

NOT RENEWED

Business

First Name

KELLY

Middle

Last Name

SMITH

Business Name

KELLY L SMITH

Original Issue Date

03/01/2007

Effective Date

01/10/2008

Expiration Date

03/31/2009

City

TUSCOLA

State

Zip

61953

County

DOUGLAS

Ever Disciplined

LastModifiedDate

05/06/2009