SUSAN R BURGENER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049116152

License Status

NOT RENEWED

Business

First Name

SUSAN R

Last Name

BURGENER

Business Name

SUSAN R BURGENER

Original Issue Date

12/09/1996

Effective Date

12/09/1996

Expiration Date

03/31/1998

City

DECATUR

State

Zip

62522

County

MACON

Ever Disciplined

LastModifiedDate

10/17/2005