MIRANDA M NELSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049129263

License Status

NOT RENEWED

Business

First Name

MIRANDA

Middle

Last Name

NELSON

Business Name

MIRANDA M NELSON

Original Issue Date

02/14/2000

Effective Date

02/14/2000

Expiration Date

03/31/2001

City

ROCKFORD

State

Zip

61108

Ever Disciplined

LastModifiedDate

10/21/2005