NICKI JO BURGESS - Pharmacist License in Illinois | # 049234918

NICKI JO BURGESS

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049234918

License Status

NOT RENEWED

Business

N

First Name

NICKI

Middle

JO

Last Name

BURGESS

Business Name

NICKI JO BURGESS

Original Issue Date

07/27/2015

Effective Date

07/27/2015

Expiration Date

03/31/2016

State

IL

Ever Disciplined

N

LastModifiedDate

05/20/2016