COY L MILLER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049160527

License Status

NOT RENEWED

Business

First Name

COY

Middle

Last Name

MILLER

Business Name

COY L MILLER

Original Issue Date

04/22/2005

Effective Date

01/19/2006

Expiration Date

03/31/2007

City

HAMPTON

State

Zip

61256

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

05/14/2007