MICHELLE ANN BURGIN - Pharmacist License in Illinois | # 049125050

MICHELLE ANN BURGIN

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049125050

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

10/21/2005