SHANE M MILLER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049079981

License Status

NOT RENEWED

Business

First Name

SHANE M

Last Name

MILLER

Business Name

SHANE M MILLER

Original Issue Date

07/05/1984

Effective Date

07/05/1984

Expiration Date

03/31/1986

City

FREEPORT

State

Zip

61032

County

STEPHENSON

Ever Disciplined

LastModifiedDate

10/17/2005