ALLYN N MILLBURG Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049191985

License Status

NOT RENEWED

Business

First Name

ALLYN

Middle

Last Name

MILLBURG

Business Name

ALLYN N MILLBURG

Original Issue Date

05/28/2009

Effective Date

01/24/2011

Expiration Date

03/31/2012

City

COLLINSVILLE

State

Zip

62234

County

MADISON

Ever Disciplined

LastModifiedDate

05/07/2012