PATRICKA L SMITH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051029435

License Status

NOT RENEWED

Business

First Name

PATRICKA L

Last Name

SMITH

Business Name

PATRICKA L SMITH

Original Issue Date

01/23/1973

Effective Date

01/23/1973

Expiration Date

01/01/1997

City

DUNLAP

State

Zip

61525

County

PEORIA

Ever Disciplined

LastModifiedDate

10/17/2005