LACEE N MERRILL-MYLES Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049169734

License Status

NOT RENEWED

Business

First Name

LACEE

Middle

Last Name

MERRILL-MYLES

Business Name

LACEE N MERRILL-MYLES

Original Issue Date

06/30/2006

Effective Date

01/27/2012

Expiration Date

03/31/2013

City

ROCKFORD

State

Zip

61101

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/06/2013