PHYLLIS JOY BURNAM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049075327

License Status

NOT RENEWED

Business

First Name

PHYLLIS JOY

Last Name

BURNAM

Business Name

PHYLLIS JOY BURNAM

Original Issue Date

09/28/1981

Effective Date

09/28/1981

Expiration Date

03/31/1982

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

10/17/2005