TRAVIS WESELY MILLER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049154068

License Status

NOT RENEWED

Business

First Name

TRAVIS

Middle

WESELY

Last Name

MILLER

Business Name

TRAVIS WESELY MILLER

Original Issue Date

04/13/2004

Effective Date

11/30/2010

Expiration Date

03/31/2011

City

COTTAGE HILLS

State

Zip

62018

County

MADISON

Ever Disciplined

LastModifiedDate

05/12/2011