ANDREA G BURNSIDE - Pharmacist License in Illinois | # 049119830

ANDREA G BURNSIDE

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049119830

License Status

NOT RENEWED

Business

N

First Name

ANDREA

Middle

G

Last Name

BURNSIDE

Business Name

ANDREA G BURNSIDE

Original Issue Date

01/13/1998

Effective Date

01/13/1998

Expiration Date

03/31/2003

State

IL

Ever Disciplined

N

LastModifiedDate

10/20/2005