JEROLD ROBERT SMITH Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051031458

License Status

INACTIVE

Business

First Name

JEROLD ROBERT

Last Name

SMITH

Business Name

JEROLD ROBERT SMITH

Original Issue Date

04/07/1977

Effective Date

04/07/1977

Expiration Date

03/31/1992

City

ELKHART

State

Zip

46517

County

INDIANA

Ever Disciplined

LastModifiedDate

10/17/2005