JACKIE JEAN BURLISON - Pharmacist License in Illinois | # 049139427

JACKIE JEAN BURLISON

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049139427

License Status

NOT RENEWED

Business

N

First Name

JACKIE

Middle

JEAN

Last Name

BURLISON

Business Name

JACKIE JEAN BURLISON

Original Issue Date

11/29/2001

Effective Date

11/29/2001

Expiration Date

03/31/2002

State

IL

Ever Disciplined

N

LastModifiedDate

12/06/2005