STACY L MILLER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049224847

License Status

NOT RENEWED

Business

First Name

STACY

Middle

Last Name

MILLER

Prefix

Business Name

STACY L MILLER

Original Issue Date

04/27/2014

Effective Date

01/28/2019

Expiration Date

09/30/2020

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

01/08/2021