JALYSSA SIMONE BUCK SMITH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049272782

License Status

NOT RENEWED

Business

First Name

JALYSSA

Middle

SIMONE BUCK

Last Name

SMITH

Business Name

JALYSSA SIMONE BUCK SMITH

Original Issue Date

04/17/2020

Effective Date

04/17/2020

Expiration Date

03/31/2021

City

LOUISVILLE

State

Zip

40222

Ever Disciplined

LastModifiedDate

07/20/2021