MARY RENE BURFORD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049103055

License Status

NOT RENEWED

Business

First Name

MARY RENE

Last Name

BURFORD

Business Name

MARY RENE BURFORD

Original Issue Date

04/08/1993

Effective Date

04/08/1993

Expiration Date

03/31/1997

City

GALESBURG

State

Zip

61401

County

KNOX

Ever Disciplined

LastModifiedDate

10/17/2005