SANDRA M BURGENER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049072679

License Status

NOT RENEWED

Business

First Name

SANDRA M

Last Name

BURGENER

Business Name

SANDRA M BURGENER

Original Issue Date

03/25/1980

Effective Date

03/25/1980

Expiration Date

03/31/1986

City

PAWNEE

State

Zip

62558

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/17/2005