JILL NICOLE BURRIS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049130137

License Status

NOT RENEWED

Business

First Name

JILL

Middle

NICOLE

Last Name

BURRIS

Business Name

JILL NICOLE BURRIS

Original Issue Date

03/21/2000

Effective Date

03/21/2000

Expiration Date

03/31/2001

City

DECATUR

State

Zip

62522

County

MACON

Ever Disciplined

LastModifiedDate

10/21/2005