SAMANTHA L MILLER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049091121

License Status

NOT RENEWED

Business

First Name

SAMANTHA L

Last Name

MILLER

Business Name

SAMANTHA L MILLER

Original Issue Date

09/07/1989

Effective Date

09/07/1989

Expiration Date

03/31/1995

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/17/2005