SHANE ANDREW SMITH - Pharmacist License in Illinois | # 049260265

SHANE ANDREW SMITH

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049260265

License Status

NOT RENEWED

Business

N

First Name

SHANE

Middle

ANDREW

Last Name

SMITH

Business Name

SHANE ANDREW SMITH

Original Issue Date

09/28/2018

Effective Date

09/28/2018

Expiration Date

03/31/2019

State

IL

Ever Disciplined

N

LastModifiedDate

07/15/2019