MARK PRESTON BURRIS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049125045

License Status

NOT RENEWED

Business

First Name

MARK

Middle

PRESTON

Last Name

BURRIS

Business Name

MARK PRESTON BURRIS

Original Issue Date

03/18/1999

Effective Date

03/18/1999

Expiration Date

03/31/2000

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/21/2005