DIANA R BURGESS - Pharmacist License in Illinois | # 049216060

DIANA R BURGESS

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049216060

License Status

NOT RENEWED

Business

N

First Name

DIANA

Middle

R

Last Name

BURGESS

Prefix

MR

Business Name

DIANA R BURGESS

Original Issue Date

02/15/2013

Effective Date

02/15/2013

Expiration Date

03/31/2014

State

IL

Ever Disciplined

N

LastModifiedDate

05/06/2014