HOLLY BURGESS - Pharmacist License in Illinois | # 049062664

HOLLY BURGESS

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049062664

License Status

NOT RENEWED

Business

N

First Name

HOLLY

Last Name

BURGESS

Business Name

HOLLY BURGESS

Original Issue Date

12/13/1974

Effective Date

12/13/1974

Expiration Date

01/01/1997

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005