REGINA MARIE BURDICK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049149503

License Status

NOT RENEWED

Business

First Name

REGINA

Middle

MARIE

Last Name

BURDICK

Business Name

REGINA MARIE BURDICK

Original Issue Date

07/15/2003

Effective Date

01/20/2015

Expiration Date

03/31/2016

City

AVONDALE

State

Zip

85323

County

ARIZONA

Ever Disciplined

LastModifiedDate

05/20/2016