KEN R MILLER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049146830

License Status

NOT RENEWED

Business

First Name

KEN

Middle

Last Name

MILLER

Business Name

KEN R MILLER

Original Issue Date

01/27/2003

Effective Date

01/27/2003

Expiration Date

03/31/2004

City

GRAYSLAKE

State

Zip

60030

County

LAKE

Ever Disciplined

LastModifiedDate

10/20/2005