ELIZABETH M SMALL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049218954

License Status

NOT RENEWED

Business

First Name

ELIZABETH

Middle

Last Name

SMALL

Business Name

ELIZABETH M SMALL

Original Issue Date

06/24/2013

Effective Date

02/03/2014

Expiration Date

03/31/2015

City

ROCKFORD

State

Zip

61101

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/11/2015