BRENT EUGENE MILLER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049195818

License Status

NOT RENEWED

Business

First Name

BRENT

Middle

EUGENE

Last Name

MILLER

Business Name

BRENT EUGENE MILLER

Original Issue Date

12/10/2009

Effective Date

02/01/2010

Expiration Date

03/31/2011

City

DIX

State

Zip

62830

County

JEFFERSON

Ever Disciplined

LastModifiedDate

05/12/2011