KELLY SMITH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049255280

License Status

NOT RENEWED

Business

First Name

KELLY

Last Name

SMITH

Business Name

KELLY SMITH

Original Issue Date

01/03/2018

Effective Date

01/03/2018

Expiration Date

03/31/2019

City

ROCKFORD

State

Zip

61103

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

07/15/2019