PHYLLIS K SMITH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049201623

License Status

NOT RENEWED

Business

First Name

PHYLLIS

Middle

Last Name

SMITH

Business Name

PHYLLIS K SMITH

Original Issue Date

11/19/2010

Effective Date

05/02/2011

Expiration Date

03/31/2012

City

CHICAGO

State

Zip

60623

County

COOK

Ever Disciplined

LastModifiedDate

05/07/2012