ANGIE J BURGENER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049070039

License Status

NOT RENEWED

Business

First Name

ANGIE J

Last Name

BURGENER

Business Name

ANGIE J BURGENER

Original Issue Date

09/08/1978

Effective Date

09/08/1978

Expiration Date

03/31/1984

City

MORTON

State

Zip

61550

County

TAZEWELL

Ever Disciplined

LastModifiedDate

10/17/2005