B T BURKE IV Pharmacist License verification

Business Entity

CANCELLED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049056786

License Status

CANCELLED

Business

First Name

B T

Last Name

BURKE IV

Business Name

B T BURKE IV

Original Issue Date

01/01/1997

Expiration Date

01/01/1997

City

CARLINVILLE

State

Zip

62626

County

MACOUPIN

Ever Disciplined

LastModifiedDate

10/17/2005