LESLIE DAWN MILLER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049125394

License Status

NOT RENEWED

Business

First Name

LESLIE

Middle

DAWN

Last Name

MILLER

Business Name

LESLIE DAWN MILLER

Original Issue Date

04/09/1999

Effective Date

04/09/1999

Expiration Date

03/31/2005

City

TAMAROA

State

Zip

62888

County

PERRY

Ever Disciplined

LastModifiedDate

10/20/2005