ANNETTE MARIE MILLER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049158534

License Status

NOT RENEWED

Business

First Name

ANNETTE

Middle

MARIE

Last Name

MILLER

Business Name

ANNETTE MARIE MILLER

Original Issue Date

12/22/2004

Effective Date

02/06/2012

Expiration Date

03/31/2013

City

HIGHLAND

State

Zip

62249

County

MADISON

Ever Disciplined

LastModifiedDate

05/06/2013