CONNIE LEE MILLER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049069567

License Status

NOT RENEWED

Business

First Name

CONNIE LEE

Last Name

MILLER

Business Name

CONNIE LEE MILLER

Original Issue Date

06/16/1978

Effective Date

06/16/1978

Expiration Date

01/01/1997

City

COTTAGE HILLS

State

Zip

62018

County

MADISON

Ever Disciplined

LastModifiedDate

10/17/2005