KIMBERLY DAWN MILLER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049158903

License Status

NOT RENEWED

Business

First Name

KIMBERLY

Middle

DAWN

Last Name

MILLER

Business Name

KIMBERLY DAWN MILLER

Original Issue Date

01/19/2005

Effective Date

03/18/2010

Expiration Date

03/31/2011

City

BELLEVUE

State

Zip

61604

County

PEORIA

Ever Disciplined

LastModifiedDate

05/12/2011