JANA M BURGESS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049111031

License Status

NOT RENEWED

Business

First Name

JANA M

Last Name

BURGESS

Business Name

JANA M BURGESS

Original Issue Date

07/05/1995

Effective Date

07/05/1995

Expiration Date

03/31/1998

City

METROPOLIS

State

Zip

62960

County

MASSAC

Ever Disciplined

LastModifiedDate

10/17/2005