LESA MARIE SMITH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049261308

License Status

NOT RENEWED

Business

First Name

LESA

Middle

MARIE

Last Name

SMITH

Business Name

LESA MARIE SMITH

Original Issue Date

11/26/2018

Effective Date

01/04/2020

Expiration Date

03/31/2021

City

CARLINVILLE

State

Zip

62626

County

MACOUPIN

Ever Disciplined

LastModifiedDate

07/20/2021