MODINAT A SMITH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049245296

License Status

NOT RENEWED

Business

First Name

MODINAT

Middle

Last Name

SMITH

Prefix

Business Name

MODINAT A SMITH

Original Issue Date

10/08/2016

Effective Date

03/07/2017

Expiration Date

03/31/2018

City

CHICAGO

State

Zip

60645

County

COOK

Ever Disciplined

LastModifiedDate

06/19/2018