BRENT MICHAEL SMITH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049175123

License Status

NOT RENEWED

Business

First Name

BRENT

Middle

MICHAEL

Last Name

SMITH

Business Name

BRENT MICHAEL SMITH

Original Issue Date

03/27/2007

Effective Date

02/02/2012

Expiration Date

03/31/2013

City

COLLINSVILLE

State

Zip

62234

County

MADISON

Ever Disciplined

LastModifiedDate

05/06/2013