ANGELA M MILLER Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049157689

License Status

INACTIVE

Business

First Name

ANGELA

Middle

Last Name

MILLER

Business Name

ANGELA M MILLER

Original Issue Date

10/29/2004

Effective Date

04/30/2012

Expiration Date

03/31/2013

City

SPRINGFIELD

State

Zip

62711

County

SANGAMON

Ever Disciplined

LastModifiedDate

01/03/2013