SANDRA L BURNSIDE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049112028

License Status

NOT RENEWED

Business

First Name

SANDRA L

Last Name

BURNSIDE

Business Name

SANDRA L BURNSIDE

Original Issue Date

10/05/1995

Effective Date

10/05/1995

Expiration Date

03/31/1997

City

CHICAGO

State

Zip

60634

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005