KATHY ANN BURGE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049059360

License Status

NOT RENEWED

Business

First Name

KATHY ANN

Last Name

BURGE

Business Name

KATHY ANN BURGE

Original Issue Date

04/13/1973

Effective Date

04/13/1973

Expiration Date

01/01/1997

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/17/2005