MICHAEL SCOTT MIRACLE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049113140

License Status

NOT RENEWED

Business

First Name

MICHAEL SCOTT

Last Name

MIRACLE

Business Name

MICHAEL SCOTT MIRACLE

Original Issue Date

01/29/1996

Effective Date

01/29/1996

Expiration Date

03/31/1997

City

CROWN POINT

State

Zip

46307

County

INDIANA

Ever Disciplined

LastModifiedDate

10/17/2005