MICHELLE J MAZZOTTI SMITH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049189847

License Status

NOT RENEWED

Business

First Name

MICHELLE

Middle

Last Name

MAZZOTTI SMITH

Business Name

MICHELLE J MAZZOTTI SMITH

Original Issue Date

02/24/2009

Effective Date

02/24/2009

Expiration Date

03/31/2010

City

TAYLORVILLE

State

Zip

62568

County

CHRISTIAN

Ever Disciplined

LastModifiedDate

05/04/2010