EVELYN MARIE BURNWORTH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049062617

License Status

NOT RENEWED

Business

First Name

EVELYN MARIE

Last Name

BURNWORTH

Business Name

EVELYN MARIE BURNWORTH

Original Issue Date

11/29/1974

Effective Date

11/29/1974

Expiration Date

03/31/1986

City

BRIDGEPORT

State

Zip

62417

County

LAWRENCE

Ever Disciplined

LastModifiedDate

10/17/2005