DOMONIQUE NICOLE MILLER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049262521

License Status

NOT RENEWED

Business

First Name

DOMONIQUE

Middle

NICOLE

Last Name

MILLER

Business Name

DOMONIQUE NICOLE MILLER

Original Issue Date

01/02/2019

Effective Date

01/02/2019

Expiration Date

09/30/2020

City

COTTAGE HILLS

State

Zip

62018

County

MADISON

Ever Disciplined

LastModifiedDate

01/08/2021