DOUGLAS S BURGOYNE - Pharmacist License in Illinois | # 049105536

DOUGLAS S BURGOYNE

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049105536

License Status

NOT RENEWED

Business

N

First Name

DOUGLAS S

Last Name

BURGOYNE

Business Name

DOUGLAS S BURGOYNE

Original Issue Date

12/28/1993

Effective Date

12/28/1993

Expiration Date

03/31/1996

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005