JACKIE LYNN MILLER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049071763

License Status

NOT RENEWED

Business

First Name

JACKIE LYNN

Last Name

MILLER

Business Name

JACKIE LYNN MILLER

Original Issue Date

08/17/1979

Effective Date

08/17/1979

Expiration Date

01/01/1997

City

ROCKFORD

State

Zip

61103

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/17/2005