STEPHEN DAVID BURDGE - Pharmacist License in Illinois | # 049060650

STEPHEN DAVID BURDGE

Business Entity

CANCELLED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049060650

License Status

CANCELLED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005