MILLER LEE MOORE Pharmacist License verification

Business Entity

CANCELLED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049055739

License Status

CANCELLED

Business

First Name

MILLER LEE

Last Name

MOORE

Business Name

MILLER LEE MOORE

Original Issue Date

01/01/1997

Expiration Date

01/01/1997

City

HERRIN

State

Zip

62948

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

07/12/2007