ELLEN RUTH BURGESS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049057757

License Status

NOT RENEWED

Business

First Name

ELLEN RUTH

Last Name

BURGESS

Business Name

ELLEN RUTH BURGESS

Original Issue Date

05/27/1972

Effective Date

05/27/1972

Expiration Date

01/01/1997

City

ZION

State

Zip

60099

County

LAKE

Ever Disciplined

LastModifiedDate

10/17/2005