KIM COLLETTE MILLER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049131919

License Status

NOT RENEWED

Business

First Name

KIM

Middle

COLLETTE

Last Name

MILLER

Business Name

KIM COLLETTE MILLER

Original Issue Date

07/31/2000

Effective Date

07/31/2000

Expiration Date

03/31/2001

City

PEORIA HEIGHTS

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

10/21/2005