JERRY LEE SMITH Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051029294

License Status

INACTIVE

Business

First Name

JERRY LEE

Last Name

SMITH

Business Name

JERRY LEE SMITH

Original Issue Date

08/05/1972

Effective Date

03/10/2014

Expiration Date

03/31/2016

City

MOLINE

State

Zip

61265

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

01/28/2016