NICOLE M BURG - Pharmacist License in Illinois | # 049158357

NICOLE M BURG

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049158357

License Status

INACTIVE

Business

N

First Name

NICOLE

Middle

M

Last Name

BURG

Business Name

NICOLE M BURG

Original Issue Date

12/15/2004

Effective Date

01/09/2007

Expiration Date

03/31/2008

State

IL

Ever Disciplined

N

LastModifiedDate

01/10/2008