JEFFREY S MILLER DO Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049095485

License Status

NOT RENEWED

Business

Title

First Name

JEFFREY

Middle

Last Name

MILLER

Business Name

JEFFREY S MILLER DO

Original Issue Date

01/15/1991

Effective Date

01/15/1991

Expiration Date

03/31/1996

City

PALOS HEIGHTS

State

Zip

60463

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005