CONSTANCE MARIE MILLER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049057286

License Status

NOT RENEWED

Business

First Name

CONSTANCE MARIE

Last Name

MILLER

Business Name

CONSTANCE MARIE MILLER

Original Issue Date

01/17/1972

Effective Date

01/17/1972

Expiration Date

01/01/1997

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/17/2005