SHANE MICHAEL MILLER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049150759

License Status

NOT RENEWED

Business

First Name

SHANE

Middle

MICHAEL

Last Name

MILLER

Business Name

SHANE MICHAEL MILLER

Original Issue Date

09/23/2003

Effective Date

04/09/2009

Expiration Date

03/31/2010

City

MACOMB

State

Zip

61455

County

MCDONOUGH

Ever Disciplined

LastModifiedDate

05/04/2010