GARY J BURG Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049079026

License Status

NOT RENEWED

Business

First Name

GARY J

Last Name

BURG

Business Name

GARY J BURG

Original Issue Date

10/07/1983

Effective Date

10/07/1983

Expiration Date

03/31/2006

City

LAKE BLUFF

State

Zip

60044

County

LAKE

Ever Disciplined

LastModifiedDate

05/11/2006