MICHELLE ANN BURGIN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049125050

License Status

NOT RENEWED

Business

First Name

MICHELLE

Middle

ANN

Last Name

BURGIN

Business Name

MICHELLE ANN BURGIN

Original Issue Date

03/19/1999

Effective Date

03/19/1999

Expiration Date

03/31/2000

City

COLLINSVILLE

State

Zip

62234

County

MADISON

Ever Disciplined

LastModifiedDate

10/21/2005