TARA BREE MILLER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049145207

License Status

NOT RENEWED

Business

First Name

TARA

Middle

BREE

Last Name

MILLER

Business Name

TARA BREE MILLER

Original Issue Date

10/10/2002

Effective Date

10/10/2002

Expiration Date

03/31/2004

City

ORION

State

Zip

61273

County

HENRY

Ever Disciplined

LastModifiedDate

10/20/2005