SARAH A BURNSIDE Pharmacist License verification

Business Entity

CANCELLED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049063586

License Status

CANCELLED

Business

First Name

SARAH A

Last Name

BURNSIDE

Business Name

SARAH A BURNSIDE

Original Issue Date

06/06/1975

Effective Date

06/06/1975

Expiration Date

01/01/1997

City

CHICAGO

State

Zip

60623

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005