MALLORY M MILLER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049159323

License Status

NOT RENEWED

Business

First Name

MALLORY

Middle

Last Name

MILLER

Business Name

MALLORY M MILLER

Original Issue Date

02/22/2005

Effective Date

01/10/2008

Expiration Date

03/31/2009

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/06/2009