GLENNA JANE MILLER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049059494

License Status

NOT RENEWED

Business

First Name

GLENNA JANE

Last Name

MILLER

Business Name

GLENNA JANE MILLER

Original Issue Date

05/11/1973

Effective Date

05/11/1973

Expiration Date

03/31/1999

City

ROCKFORD

State

Zip

61101

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/17/2005