BRIAN THOMAS MILLER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049106250

License Status

NOT RENEWED

Business

First Name

BRIAN THOMAS

Last Name

MILLER

Business Name

BRIAN THOMAS MILLER

Original Issue Date

03/14/1994

Effective Date

03/14/1994

Expiration Date

03/31/1996

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/17/2005