SALLY M BIRSA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049101502

License Status

NOT RENEWED

Business

First Name

SALLY M

Last Name

BIRSA

Business Name

SALLY M BIRSA

Original Issue Date

10/14/1992

Effective Date

10/14/1992

Expiration Date

03/31/2005

City

BURBANK

State

Zip

60459

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005