SHANTAE M SMITH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049270251

License Status

NOT RENEWED

Business

First Name

SHANTAE

Middle

Last Name

SMITH

Business Name

SHANTAE M SMITH

Original Issue Date

01/09/2020

Effective Date

01/09/2020

Expiration Date

03/31/2021

City

DANVILLE

State

Zip

61832

County

VERMILION

Ever Disciplined

LastModifiedDate

07/20/2021