LANCE FABIAN SMITH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049188316

License Status

NOT RENEWED

Business

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

City

BELLWOOD

State

Zip

60104

County

COOK

Ever Disciplined

LastModifiedDate

05/12/2011