KEISHA LYNN SMITH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049236964

License Status

NOT RENEWED

Business

First Name

KEISHA

Middle

LYNN

Last Name

SMITH

Business Name

KEISHA LYNN SMITH

Original Issue Date

10/13/2015

Effective Date

03/02/2016

Expiration Date

03/31/2017

City

FARMER CITY

State

Zip

61842

County

DE WITT

Ever Disciplined

LastModifiedDate

05/10/2017