MATTHEW WILLIAM BURGIN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049114688

License Status

NOT RENEWED

Business

First Name

MATTHEW

Middle

WILLIAM

Last Name

BURGIN

Business Name

MATTHEW WILLIAM BURGIN

Original Issue Date

07/24/1996

Effective Date

07/24/1996

Expiration Date

03/31/1999

City

OLNEY

State

Zip

62450

County

RICHLAND

Ever Disciplined

LastModifiedDate

10/17/2005