KURT B BURG Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049112156

License Status

NOT RENEWED

Business

First Name

KURT

Middle

Last Name

BURG

Business Name

KURT B BURG

Original Issue Date

10/19/1995

Effective Date

10/19/1995

Expiration Date

03/31/2001

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/21/2005