ANDREA G BURNSIDE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049119830

License Status

NOT RENEWED

Business

First Name

ANDREA

Middle

Last Name

BURNSIDE

Business Name

ANDREA G BURNSIDE

Original Issue Date

01/13/1998

Effective Date

01/13/1998

Expiration Date

03/31/2003

City

AURORA

State

Zip

60504

County

KANE

Ever Disciplined

LastModifiedDate

10/20/2005