EVAN THOMAS SMITH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049211190

License Status

NOT RENEWED

Business

First Name

EVAN

Middle

THOMAS

Last Name

SMITH

Business Name

EVAN THOMAS SMITH

Original Issue Date

05/21/2012

Effective Date

05/21/2012

Expiration Date

03/31/2013

City

WOOD RIVER

State

Zip

62095

County

MADISON

Ever Disciplined

LastModifiedDate

05/06/2013