DIANA L MILLER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049164927

License Status

NOT RENEWED

Business

First Name

DIANA

Middle

Last Name

MILLER

Business Name

DIANA L MILLER

Original Issue Date

11/10/2005

Effective Date

03/21/2018

Expiration Date

03/31/2019

City

ARCOLA

State

Zip

61910

County

DOUGLAS

Ever Disciplined

LastModifiedDate

07/15/2019