Pharmacist
REGISTERED PHARMACIST
051036727
NOT RENEWED
N
TERIDA L
SMITH
TERIDA L SMITH
08/23/1987
08/23/1987
03/31/1994
MARRERO
LA
70072
LOUISIANA
Y
04/08/2015
1991003810
Revocation
06/10/1992
03/27/2015
Failed to respond to a written request made by the Department for information.