JACK L SMITH Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051033588

License Status

INACTIVE

Business

First Name

JACK

Middle

Last Name

SMITH

Business Name

JACK L SMITH

Original Issue Date

03/16/1981

Effective Date

03/26/2012

Expiration Date

03/31/2014

City

BENTON

State

Zip

62812

County

FRANKLIN

Ever Disciplined

LastModifiedDate

01/09/2014