SUSAN M BURNAM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049072692

License Status

NOT RENEWED

Business

First Name

SUSAN M

Last Name

BURNAM

Business Name

SUSAN M BURNAM

Original Issue Date

03/25/1980

Effective Date

03/25/1980

Expiration Date

03/31/1982

City

CARTERVILLE

State

Zip

62918

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

10/17/2005