KELSEY ANNE BURGE - Pharmacist License in Illinois | # 049202114

KELSEY ANNE BURGE

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049202114

License Status

NOT RENEWED

Business

N

First Name

KELSEY

Middle

ANNE

Last Name

BURGE

Business Name

KELSEY ANNE BURGE

Original Issue Date

01/03/2011

Effective Date

02/20/2019

Expiration Date

09/30/2020

State

IL

Ever Disciplined

N

LastModifiedDate

01/08/2021