JOHN W BURNAM Pharmacist License verification

Business Entity

CANCELLED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049066937

License Status

CANCELLED

Business

First Name

JOHN W

Last Name

BURNAM

Business Name

JOHN W BURNAM

Original Issue Date

03/18/1977

Effective Date

03/18/1977

Expiration Date

01/01/1997

City

VANDALIA

State

Zip

62471

County

FAYETTE

Ever Disciplined

LastModifiedDate

10/17/2005