DAE G SMITH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049287561

License Status

NOT RENEWED

Business

First Name

DAE

Middle

Last Name

SMITH

Business Name

DAE G SMITH

Original Issue Date

11/04/2021

Effective Date

11/04/2021

Expiration Date

05/31/2022

City

LOVES PARK

State

Zip

61111

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

07/27/2022