ADAM R MILLER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049171379

License Status

NOT RENEWED

Business

First Name

ADAM

Middle

Last Name

MILLER

Business Name

ADAM R MILLER

Original Issue Date

09/15/2006

Effective Date

04/10/2012

Expiration Date

03/31/2013

City

LOVES PARK

State

Zip

61111

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/06/2013