SAMANTHA A MILES Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049145405

License Status

NOT RENEWED

Business

First Name

SAMANTHA

Middle

Last Name

MILES

Business Name

SAMANTHA A MILES

Original Issue Date

10/18/2002

Effective Date

03/12/2013

Expiration Date

03/31/2014

City

GODFREY

State

Zip

62035

County

MADISON

Ever Disciplined

LastModifiedDate

05/06/2014