LISA MARIE SMITH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049255021

License Status

NOT RENEWED

Business

First Name

LISA

Middle

MARIE

Last Name

SMITH

Business Name

LISA MARIE SMITH

Original Issue Date

12/14/2017

Effective Date

12/14/2017

Expiration Date

03/31/2018

City

CHAMPAIGN

State

Zip

61821

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

06/19/2018