CHARLOTTE A MILLER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049099929

License Status

NOT RENEWED

Business

First Name

CHARLOTTE A

Last Name

MILLER

Business Name

CHARLOTTE A MILLER

Original Issue Date

04/17/1992

Effective Date

04/17/1992

Expiration Date

03/31/2000

City

ROCKFORD

State

Zip

61109

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/21/2005