SHANNON LEE MILLER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049122034

License Status

NOT RENEWED

Business

First Name

SHANNON

Middle

LEE

Last Name

MILLER

Business Name

SHANNON LEE MILLER

Original Issue Date

07/20/1998

Effective Date

07/20/1998

Expiration Date

03/31/2003

City

ALTON

State

Zip

62002

County

MADISON

Ever Disciplined

LastModifiedDate

10/20/2005