STACEY R MILLER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049086556

License Status

NOT RENEWED

Business

First Name

STACEY R

Last Name

MILLER

Business Name

STACEY R MILLER

Original Issue Date

05/01/1988

Effective Date

05/01/1988

Expiration Date

03/31/1989

City

SILVIS

State

Zip

61282

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

10/17/2005