DOUGLAS S BURGOYNE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049105536

License Status

NOT RENEWED

Business

First Name

DOUGLAS S

Last Name

BURGOYNE

Business Name

DOUGLAS S BURGOYNE

Original Issue Date

12/28/1993

Effective Date

12/28/1993

Expiration Date

03/31/1996

City

GLEN ELLYN

State

Zip

60137

County

DUPAGE

Ever Disciplined

LastModifiedDate

10/17/2005