PAGET A BURGE Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049127301

License Status

INACTIVE

Business

First Name

PAGET A

Last Name

BURGE

Business Name

PAGET A BURGE

Original Issue Date

09/07/1999

Effective Date

01/09/2007

Expiration Date

03/31/2008

City

DIX

State

Zip

62830

County

JEFFERSON

Ever Disciplined

LastModifiedDate

01/10/2008