SHANE MICHAEL MILLER Pharmacist License verification

Business Entity

ACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051293200

License Status

ACTIVE

Business

First Name

SHANE

Middle

MICHAEL

Last Name

MILLER

Business Name

SHANE MICHAEL MILLER

Original Issue Date

04/14/2009

Effective Date

03/17/2026

Expiration Date

03/31/2028

City

MACOMB

State

Zip

61455

County

MCDONOUGH

Ever Disciplined

LastModifiedDate

03/17/2026