TAVARES LAMAR SMITH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049259621

License Status

NOT RENEWED

Business

First Name

TAVARES

Middle

LAMAR

Last Name

SMITH

Business Name

TAVARES LAMAR SMITH

Original Issue Date

09/19/2018

Effective Date

09/19/2018

Expiration Date

03/31/2019

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

07/15/2019