TARA JO BURGESS - Pharmacist License in Illinois | # 049169598

TARA JO BURGESS

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049169598

License Status

NOT RENEWED

Business

N

First Name

TARA

Middle

JO

Last Name

BURGESS

Business Name

TARA JO BURGESS

Original Issue Date

06/26/2006

Effective Date

03/09/2009

Expiration Date

03/31/2010

State

IL

Ever Disciplined

N

LastModifiedDate

05/04/2010