LANCE FABIAN SMITH - Pharmacist License in Illinois | # 049188316

LANCE FABIAN SMITH

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049188316

License Status

NOT RENEWED

Business

N

First Name

LANCE

Middle

FABIAN

Last Name

SMITH

Business Name

LANCE FABIAN SMITH

Original Issue Date

11/19/2008

Effective Date

01/12/2010

Expiration Date

03/31/2011

State

IL

Ever Disciplined

N

LastModifiedDate

05/12/2011