KRISTIN A MILLER DMD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049118309

License Status

NOT RENEWED

Business

First Name

KRISTIN

Middle

Last Name

MILLER

Suffix

DMD

Business Name

KRISTIN A MILLER DMD

Original Issue Date

07/29/1997

Effective Date

07/29/1997

Expiration Date

03/31/2002

City

BEARDSTOWN

State

Zip

62618

County

CASS

Ever Disciplined

LastModifiedDate

12/06/2005