LESLIE SMITH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049193923

License Status

NOT RENEWED

Business

First Name

LESLIE

Last Name

SMITH

Business Name

LESLIE SMITH

Original Issue Date

08/28/2009

Effective Date

08/28/2009

Expiration Date

03/31/2010

City

CHAMPAIGN

State

Zip

61821

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

05/04/2010