MICAH DANIEL SMITH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049226556

License Status

NOT RENEWED

Business

First Name

MICAH

Middle

DANIEL

Last Name

SMITH

Business Name

MICAH DANIEL SMITH

Original Issue Date

07/18/2014

Effective Date

03/25/2015

Expiration Date

03/31/2016

City

CHAMPAIGN

State

Zip

61822

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

05/20/2016