PENNY MAY BURGESS - Pharmacist License in Illinois | # 049119554

PENNY MAY BURGESS

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049119554

License Status

NOT RENEWED

Business

N

First Name

PENNY

Middle

MAY

Last Name

BURGESS

Business Name

PENNY MAY BURGESS

Original Issue Date

12/10/1997

Effective Date

12/10/1997

Expiration Date

03/31/1999

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005