CHANTEL M MILLER Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049187889

License Status

INACTIVE

Business

First Name

CHANTEL

Middle

Last Name

MILLER

Business Name

CHANTEL M MILLER

Original Issue Date

10/22/2008

Effective Date

03/01/2010

Expiration Date

03/31/2011

City

GRANITE CITY

State

Zip

62040

County

MADISON

Ever Disciplined

LastModifiedDate

01/05/2011