MIGNON RANEE BURROUGHS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049142749

License Status

NOT RENEWED

Business

First Name

MIGNON

Middle

RANEE

Last Name

BURROUGHS

Business Name

MIGNON RANEE BURROUGHS

Original Issue Date

05/30/2002

Effective Date

05/30/2002

Expiration Date

03/31/2003

City

DAVENPORT

State

Zip

52803

County

IOWA

Ever Disciplined

LastModifiedDate

10/20/2005