NATHAN DEWEY SMITH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049187698

License Status

NOT RENEWED

Business

First Name

NATHAN

Middle

DEWEY

Last Name

SMITH

Business Name

NATHAN DEWEY SMITH

Original Issue Date

10/15/2008

Effective Date

01/20/2015

Expiration Date

03/31/2016

City

CARBONDALE

State

Zip

62901

County

JACKSON

Ever Disciplined

LastModifiedDate

05/20/2016