SHIRLEY D MILLER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049141170

License Status

NOT RENEWED

Business

First Name

SHIRLEY

Middle

Last Name

MILLER

Business Name

SHIRLEY D MILLER

Original Issue Date

03/05/2002

Effective Date

03/05/2002

Expiration Date

03/31/2006

City

FAIRFIELD

State

Zip

62837

County

WAYNE

Ever Disciplined

LastModifiedDate

05/11/2006