DEMISHA KANIELLE BURKS - Pharmacist License in Illinois | # 049155595

DEMISHA KANIELLE BURKS

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049155595

License Status

NOT RENEWED

Business

N

First Name

DEMISHA

Middle

KANIELLE

Last Name

BURKS

Business Name

DEMISHA KANIELLE BURKS

Original Issue Date

06/23/2004

Effective Date

06/23/2004

Expiration Date

03/31/2005

State

IL

Ever Disciplined

N

LastModifiedDate

10/20/2005