JORDAN ELAINE MILLER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049254473

License Status

NOT RENEWED

Business

First Name

JORDAN

Middle

ELAINE

Last Name

MILLER

Business Name

JORDAN ELAINE MILLER

Original Issue Date

11/29/2017

Effective Date

11/29/2017

Expiration Date

03/31/2018

City

HARTFORD

State

Zip

62048

County

MADISON

Ever Disciplined

LastModifiedDate

06/19/2018