BRENDA S BURKHOLDER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049110292

License Status

NOT RENEWED

Business

First Name

BRENDA

Middle

Last Name

BURKHOLDER

Business Name

BRENDA S BURKHOLDER

Original Issue Date

04/26/1995

Effective Date

04/26/1995

Expiration Date

03/31/1998

City

ROCKFORD

State

Zip

61103

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/17/2005