MACIE MISEL SMALLWOOD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049292356

License Status

NOT RENEWED

Business

First Name

MACIE

Middle

MISEL

Last Name

SMALLWOOD

Business Name

MACIE MISEL SMALLWOOD

Original Issue Date

05/02/2022

Effective Date

04/17/2024

Expiration Date

03/31/2025

City

SAVANNA

State

Zip

61074

County

CARROLL

Ever Disciplined

LastModifiedDate

07/08/2025