STEPHEN DAVID BURDGE Pharmacist License verification

Business Entity

CANCELLED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049060650

License Status

CANCELLED

Business

First Name

STEPHEN DAVID

Last Name

BURDGE

Business Name

STEPHEN DAVID BURDGE

Original Issue Date

11/30/1973

Effective Date

11/30/1973

Expiration Date

01/01/1997

City

GRANITE CITY

State

Zip

62040

County

MADISON

Ever Disciplined

LastModifiedDate

10/17/2005