KEITH A SMITH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049224855

License Status

NOT RENEWED

Business

First Name

KEITH

Middle

Last Name

SMITH

Prefix

Business Name

KEITH A SMITH

Original Issue Date

04/27/2014

Effective Date

04/27/2014

Expiration Date

03/31/2015

City

ATLANTA

State

Zip

61723

County

LOGAN

Ever Disciplined

LastModifiedDate

05/11/2015