STACEY R MILLER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049245821

License Status

NOT RENEWED

Business

First Name

STACEY

Middle

Last Name

MILLER

Prefix

Business Name

STACEY R MILLER

Original Issue Date

10/26/2016

Effective Date

10/26/2016

Expiration Date

03/31/2017

City

ROBINSON

State

Zip

62454

County

CRAWFORD

Ever Disciplined

LastModifiedDate

05/10/2017