KELLY SHAUNE BURGESS - Pharmacist License in Illinois | # 049157155

KELLY SHAUNE BURGESS

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049157155

License Status

NOT RENEWED

Business

N

First Name

KELLY

Middle

SHAUNE

Last Name

BURGESS

Business Name

KELLY SHAUNE BURGESS

Original Issue Date

09/09/2004

Effective Date

09/09/2004

Expiration Date

03/31/2006

State

IL

Ever Disciplined

N

LastModifiedDate

05/11/2006