LAURENE TRACY MILLER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049139552

License Status

NOT RENEWED

Business

First Name

LAURENE

Middle

TRACY

Last Name

MILLER

Business Name

LAURENE TRACY MILLER

Original Issue Date

12/10/2001

Effective Date

12/10/2001

Expiration Date

03/31/2003

City

BELLEVILLE

State

Zip

62220

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

10/20/2005