JACQUELINE ROSE BURKAT - Pharmacist License in Indiana | # 049142394

JACQUELINE ROSE BURKAT

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049142394

License Status

NOT RENEWED

Business

N

First Name

JACQUELINE

Middle

ROSE

Last Name

BURKAT

Business Name

JACQUELINE ROSE BURKAT

Original Issue Date

05/13/2002

Effective Date

01/19/2006

Expiration Date

03/31/2007

State

IN

Ever Disciplined

N

LastModifiedDate

05/14/2007