PHYLLIS ANN HAHN BURNITZ Pharmacist License verification

Business Entity

CANCELLED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049066065

License Status

CANCELLED

Business

First Name

PHYLLIS ANN HAHN

Last Name

BURNITZ

Business Name

PHYLLIS ANN HAHN BURNITZ

Original Issue Date

09/10/1976

Effective Date

09/10/1976

Expiration Date

01/01/1997

City

OAK PARK

State

Zip

60304

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005