DIANA J BURKETT - Pharmacist License in Illinois | # 049073549

DIANA J BURKETT

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049073549

License Status

NOT RENEWED

Business

N

First Name

DIANA J

Last Name

BURKETT

Business Name

DIANA J BURKETT

Original Issue Date

09/05/1980

Effective Date

09/05/1980

Expiration Date

01/01/1997

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005