LAVERNE MILLER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051029349

License Status

NOT RENEWED

Business

First Name

LAVERNE

Last Name

MILLER

Business Name

LAVERNE MILLER

Original Issue Date

09/14/1972

Effective Date

09/14/1972

Expiration Date

01/01/1997

City

BOLINGBROOK

State

Zip

60439

County

WILL

Ever Disciplined

LastModifiedDate

10/17/2005