BURFORD LEROY SHORE JR Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049047753

License Status

NOT RENEWED

Business

First Name

BURFORD LEROY

Last Name

SHORE JR

Business Name

BURFORD LEROY SHORE JR

Original Issue Date

01/01/1997

Effective Date

03/31/2016

Expiration Date

03/31/2017

City

SHILOH

State

Zip

62269

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

05/10/2017