STACEY L MILLER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049208547

License Status

NOT RENEWED

Business

First Name

STACEY

Middle

Last Name

MILLER

Prefix

Business Name

STACEY L MILLER

Original Issue Date

01/04/2012

Effective Date

02/06/2013

Expiration Date

03/31/2014

City

RUSHVILLE

State

Zip

62681

County

SCHUYLER

Ever Disciplined

LastModifiedDate

05/06/2014