SUSIE BURGE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049112108

License Status

NOT RENEWED

Business

First Name

SUSIE

Last Name

BURGE

Business Name

SUSIE BURGE

Original Issue Date

10/16/1995

Effective Date

10/16/1995

Expiration Date

03/31/2001

City

CHICAGO

State

Zip

60607

County

COOK

Ever Disciplined

LastModifiedDate

10/21/2005