PHYLLIS BURNS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049058286

License Status

NOT RENEWED

Business

First Name

PHYLLIS

Last Name

BURNS

Business Name

PHYLLIS BURNS

Original Issue Date

08/29/1972

Effective Date

08/29/1972

Expiration Date

03/31/2004

City

DARIEN

State

Zip

60561

County

DUPAGE

Ever Disciplined

LastModifiedDate

10/20/2005