LA-TANYA C BURGESS - Pharmacist License in Illinois | # 049096745

LA-TANYA C BURGESS

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049096745

License Status

NOT RENEWED

Business

N

First Name

LA-TANYA C

Last Name

BURGESS

Business Name

LA-TANYA C BURGESS

Original Issue Date

04/30/1991

Effective Date

04/30/1991

Expiration Date

03/31/1992

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005