ROXANNE RAE SMITH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049155784

License Status

NOT RENEWED

Business

First Name

ROXANNE

Middle

RAE

Last Name

SMITH

Business Name

ROXANNE RAE SMITH

Original Issue Date

06/28/2004

Effective Date

03/16/2007

Expiration Date

03/31/2008

City

TREVOR

State

Zip

53179

County

WISCONSIN

Ever Disciplined

LastModifiedDate

05/02/2008