SHANE MICHAEL MILLER - Pharmacist License in Illinois | # 049150759

SHANE MICHAEL MILLER

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049150759

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

05/04/2010