RICHARD JEROME BURCHILL JR Pharmacist License verification

Business Entity

CANCELLED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049071933

License Status

CANCELLED

Business

First Name

RICHARD JEROME

Last Name

BURCHILL JR

Business Name

RICHARD JEROME BURCHILL JR

Original Issue Date

10/05/1979

Effective Date

10/05/1979

Expiration Date

01/01/1997

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/17/2005