ATLETRICE SHANTA MILLER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049141706

License Status

NOT RENEWED

Business

First Name

ATLETRICE

Middle

SHANTA

Last Name

MILLER

Business Name

ATLETRICE SHANTA MILLER

Original Issue Date

04/08/2002

Effective Date

04/08/2002

Expiration Date

03/31/2004

City

CHICAGO

State

Zip

60620

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005